Extrafacial nuchal lupus miliaris disseminatus faciei

Abstract

Lupus miliaris disseminatus faciei (LMDF) is an uncommon granulomatous disease of unknown origin. It most commonly presents as yellow-brown to red papules on the central face and often involves the lower eyelids. Extrafacial manifestations have been reported but almost always coexist with facial involvement. Histopathology findings show epithe- lioid cell granulomas with variable caseous necrosis depending on the timing of the biopsy. We present a case of LMDF occurring solely on the posterior neck without facial involvement.