Statement of all funding sources that supported the work: None.
Scarring of lupus miliaris disseminatus faciei: treatment with a combination of trichloroacetic acid and carbon dioxide laser
Article first published online: 27 NOV 2013
© 2013 Wiley Periodicals, Inc.
Volume 27, Issue 3, pages 168–170, May/June 2014
How to Cite
Kang, B. K. and Shin, M. K. (2014), Scarring of lupus miliaris disseminatus faciei: treatment with a combination of trichloroacetic acid and carbon dioxide laser. Dermatologic Therapy, 27: 168–170. doi: 10.1111/dth.12110
Any conflict of interest disclosures: None.
- Issue published online: 5 JUN 2014
- Article first published online: 27 NOV 2013
- carbon dioxide laser;
- lupus miliaris disseminatus faciei;
- trichloroacetic acid
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.