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

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.
AuthorsBoo Kyoung Kang, Min Kyung Shin
JournalDermatologic therapy (Dermatol Ther) 2014 May-Jun Vol. 27 Issue 3 Pg. 168-70 ISSN: 1529-8019 [Electronic] United States
PMID24283357 (Publication Type: Case Reports, Journal Article)
Copyright© 2013 Wiley Periodicals, Inc.
Chemical References
  • Caustics
  • Trichloroacetic Acid
Topics
  • Adult
  • Biopsy
  • Caustics (therapeutic use)
  • Cicatrix (diagnosis, etiology, therapy)
  • Combined Modality Therapy
  • Facial Dermatoses (diagnosis, etiology, therapy)
  • Granuloma (diagnosis, etiology, therapy)
  • Humans
  • Lasers, Gas (therapeutic use)
  • Low-Level Light Therapy (instrumentation)
  • Male
  • Necrosis
  • Skin (drug effects, pathology, radiation effects)
  • Treatment Outcome
  • Trichloroacetic Acid (therapeutic use)

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