Morbihan disease and extrafacial lupus miliaris disseminatus faceie: a case report.
Identifieur interne : 007189 ( Ncbi/Merge ); précédent : 007188; suivant : 007190Morbihan disease and extrafacial lupus miliaris disseminatus faceie: a case report.
Auteurs : Kenzen Kou ; Keishi Chin ; Setsuko Matsukura ; Takeshi Sasaki ; Akinori Nozawa ; Michiko Aihara ; Takeshi KambaraSource :
- Annals of Saudi medicine [ 0975-4466 ]
Descripteurs français
- KwdFr :
- Adulte, Antibactériens (usage thérapeutique), Dermatoses faciales (anatomopathologie), Dermatoses faciales (traitement médicamenteux), Humains, Lymphoedème (anatomopathologie), Maladies de la paupière (anatomopathologie), Membre supérieur, Mâle, Rosacée (anatomopathologie), Rosacée (traitement médicamenteux), Roxithromycine (usage thérapeutique), Tronc.
- MESH :
- anatomopathologie : Dermatoses faciales, Lymphoedème, Maladies de la paupière, Rosacée.
- traitement médicamenteux : Dermatoses faciales, Rosacée.
- usage thérapeutique : Antibactériens, Roxithromycine.
- Adulte, Humains, Membre supérieur, Mâle, Tronc.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Roxithromycin.
- drug therapy : Facial Dermatoses, Rosacea.
- pathology : Eyelid Diseases, Facial Dermatoses, Lymphedema, Rosacea.
- Adult, Humans, Male, Torso, Upper Extremity.
Abstract
Lupus miliaris disseminatus faciei (LMDF) is characterized by discrete dome-shaped papules on the bilateral face and neck. We report the first case of LMDF with a widespread distribution of extrafacial papules and concomitant bilateral eyelid edema. A unique case of a 30-year-old man presented with nonpruritic, painless, papular eruptions (3-5 mm in diameter) involving the bilateral trunk and upper extremities, along with bilateral eyelid edema. There was no facial eruption involved. The outbreak initially involved the back, and gradually spread to the chest and wrists. The histologic examination of the eyelids revealed histiocytic epitheloid cells, dermal intercellular edema, and an expanded vascular space, which led to the diagnosis of Morbihan disease. The immunohistochemical staining of the truncal eruption revealed nodular inflammatory changes involving the middle to lower dermis around the follicles, containing histiocytes, multinucleated giant cells, and small lymphocytes. This led to the diagnosis of LMDF. The truncal papular eruption ultimately improved with roxithromycin treatment, but the eyelid edema required surgical treatment.
DOI: 10.5144/0256-4947.2014.351
PubMed: 25811210
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pubmed:25811210Le document en format XML
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<front><div type="abstract" xml:lang="en">Lupus miliaris disseminatus faciei (LMDF) is characterized by discrete dome-shaped papules on the bilateral face and neck. We report the first case of LMDF with a widespread distribution of extrafacial papules and concomitant bilateral eyelid edema. A unique case of a 30-year-old man presented with nonpruritic, painless, papular eruptions (3-5 mm in diameter) involving the bilateral trunk and upper extremities, along with bilateral eyelid edema. There was no facial eruption involved. The outbreak initially involved the back, and gradually spread to the chest and wrists. The histologic examination of the eyelids revealed histiocytic epitheloid cells, dermal intercellular edema, and an expanded vascular space, which led to the diagnosis of Morbihan disease. The immunohistochemical staining of the truncal eruption revealed nodular inflammatory changes involving the middle to lower dermis around the follicles, containing histiocytes, multinucleated giant cells, and small lymphocytes. This led to the diagnosis of LMDF. The truncal papular eruption ultimately improved with roxithromycin treatment, but the eyelid edema required surgical treatment.</div>
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<Abstract><AbstractText>Lupus miliaris disseminatus faciei (LMDF) is characterized by discrete dome-shaped papules on the bilateral face and neck. We report the first case of LMDF with a widespread distribution of extrafacial papules and concomitant bilateral eyelid edema. A unique case of a 30-year-old man presented with nonpruritic, painless, papular eruptions (3-5 mm in diameter) involving the bilateral trunk and upper extremities, along with bilateral eyelid edema. There was no facial eruption involved. The outbreak initially involved the back, and gradually spread to the chest and wrists. The histologic examination of the eyelids revealed histiocytic epitheloid cells, dermal intercellular edema, and an expanded vascular space, which led to the diagnosis of Morbihan disease. The immunohistochemical staining of the truncal eruption revealed nodular inflammatory changes involving the middle to lower dermis around the follicles, containing histiocytes, multinucleated giant cells, and small lymphocytes. This led to the diagnosis of LMDF. The truncal papular eruption ultimately improved with roxithromycin treatment, but the eyelid edema required surgical treatment.</AbstractText>
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<name sortKey="Kambara, Takeshi" sort="Kambara, Takeshi" uniqKey="Kambara T" first="Takeshi" last="Kambara">Takeshi Kambara</name>
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