Lupus Miliaris Disseminatus Faciei With Isolated Axillary Involvement.

BACKGROUND

Lupus miliaris disseminatus faciei (LMDF) is a chronic, granulomatous inflammatory disorder, commonly localized to the face.

OBJECTIVE

To present an unusual manifestation of LMDF and review the literature.

METHODS

We document a 41-year-old woman with LMDF with isolated axillary involvement. A literature review was conducted using Pubmed, Medline, Embase, and Google Scholar for similar cases using search terms lupus miliaris disseminatus faciei, LMDF, acne agminata, and acnitis.

RESULTS

Extrafacial LMDF without concomitant facial involvement is rare; there has been only 1 other report of LMDF with exclusive axillary involvement to date. In addition, we report the successful use of doxycycline monohydrate combined with topical tacrolimus in the treatment of LMDF.

CONCLUSION

Physicians should note that LMDF can occur in body sites other than the face and should be aware of the available treatment options to manage this condition.