Adult with papular eruption on the central aspect of the face

Granulomatous Facial Dermatoses

“…1 Noninfectious cutaneous granulomas can appear nearly anywhere; however, certain processes have a predilection for the face, including GPD, GR, LMDF, and papular sarcoidosis. [5][6][7] These conditions generally present with papular granulomas with features as described above.…”

“…5,23 Lupus Miliaris Disseminatus Faciei-Classic LMDF demonstrates caseating perifollicular granulomas histologically. 6,17,25 Lesions tend to appear on the central face, particularly the eyelids, and can be seen extrafacially. 3,6,25,26 Although LMDF originally was categorized as a tuberculid eruption, this no longer is thought to be the case.…”

“…6,17,25 Lesions tend to appear on the central face, particularly the eyelids, and can be seen extrafacially. 3,6,25,26 Although LMDF originally was categorized as a tuberculid eruption, this no longer is thought to be the case. 27 It is now regarded by some as a variant of GR 25 ; however, LMDF responds poorly to tetracyclines, is more common in males, and lacks rosacealike vascular abnormalities, leading some to question this association.…”

“…27 It is now regarded by some as a variant of GR 25 ; however, LMDF responds poorly to tetracyclines, is more common in males, and lacks rosacealike vascular abnormalities, leading some to question this association. 3,6,17 In the past 20 years, some have proposed renaming LMDF to better reflect its clinical course and to consider it independent of tuberculosis and GR. 28 It usually resolves spontaneously after 1 to 3 years, leaving pitted scars.…”

Granulomatous Dermatitis and Others

“…Lupus miliaris disseminatus faciei (LMDF) presents with bilateral and symmetrical papular eruption on the central face. In the past LMDF has been thought to be a severe form of granulomatous rosacea [62]. However, recently Chougule and colleagues [63] have shown that there are differences between granulomatous rosacea and LMDF.…”