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Lupus Miliaris Disseminata Faciei vs Papular Rosacea. Presented by Murray C. Zimmerman, MD.
This 48-year-old patient developed a sparse scattering of fine red papules, more on the left side of the chin than on the right, in December 1966. The eruption became progressively worse, spreading as uniform papules extending up the nasolabial fold, and more widespread on the left side of the chin, with less involvement on the right side of the chin.
There were discrete uniform red papules, about 2 mm in diameter, slightly accuminate, closely set to form almost a plaque on the left side of the chin, with scattered satellite identical papules extending diffusely away from this area. Similar papules were present on the right side of the chin and in smaller number on the upper eyelids. On diascopic pressure, these lesions looked yellowish and translucent, like nodules of apple jelly under the skin. Very fine
Sidell CM, Marmelzat WL, Storkan MA, Berke M. METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES. Arch Dermatol. 1967;96(5):597-600. doi:10.1001/archderm.1967.01610050119020