PMC7315059_01
Lupus miliaris disseminatus faciei. (a) Multiple, reddish-brown papules can be seen on the patient's face. (b) Papular lesions were more intensely seen on the perioral region.
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F1
On dermatological examination, monomorphic, solid, reddish-brown papular lesions with a smooth surface were observed on the nasolabial sulci and right infraorbital region and more intensely on the perioral region (Fig. 1).
Histopathological examination of the papule (HE; x100).
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F2
Histopathological examination of the biopsy material excised from the papule on his chin revealed superficial hyperkeratosis; mild dermal acanthosis; dermal granulomas; an area of focal caseification necrosis surrounded by epitheloid histiocytes, multinuclear giant cells, and lymphocytes; and a perivascular, perifollicular, and interstitial lymphocytic infiltration area (Fig. 2).