Scarring of lupus miliaris disseminatus faciei: treatment with a combination of trichloroacetic acid and carbon dioxide laser

Authors

  • Boo Kyoung Kang MD,

    1. Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea
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  • Min Kyung Shin MD, PhD

    Corresponding author
    1. Department of Dermatology, College of Medicine, Kyung Hee University, Seoul, Korea
    • Address correspondence and reprint requests to: Min Kyung Shin, MD, PhD, Assistant Professor, Department of Dermatology, College of Medicine, Kyung Hee University, #1 Hoegi-dong, Dongdaemun-gu, Seoul 130-702, Korea, or email: haddal@hanmail.net.

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  • Statement of all funding sources that supported the work: None.
  • Any conflict of interest disclosures: None.

Abstract

We present a case of a 35-year-old man having a 12-month history of multiple reddish-brown papules on the chin, forehead, cheeks, and eyelids. Histopathologic findings revealed epithelioid cell granulomas with central necrosis consistent with a diagnosis of lupus miliaris disseminatus faciei. After 9 months of combined treatment with ethambutol, rifampin, and pyrazinamide, most lesions gradually resolved but remained as severe disfiguring scars. After 10 sessions of treatments with 100% trichloroacetic acid and CO2 laser, the lupus miliaris disseminatus faciei scars have been much improved and the patient has never experienced a recurrence of disease during subsequent years of follow-up.

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