Estudio Descriptivo: Granulomas Faciales Idiopáticos con Evolución Regresiva, ¿Es el Lupus Miliar Diseminado Facial un Sinónimo?

INTRODUCCION: El lupus miliar diseminado facial ha sido reportado de forma infrecuente al tiempo que ha recibido multiples denominaciones. Se caracteriza clinicamente por papulas marrones eritematosas monomorficas de entre 1 y 4 mm de diametro con cicatrices en pica - hielo similares al acne. METODO: Se trato de un estudio descriptivo. Los siete casos presentados en este documento muestran las manifestaciones clinicas e histologicas de esta patologia, las mismas que coinciden con lo reportado en la literatura, a excepcion de un componente hiperqueratosico central en algunas lesiones, no reportando anteriormente, y que se ha corroborado con la microscopia. RESULTADOS: El correcto diagnostico y tratamiento de los casos presentados, tuvieron una marcada disminucion de lesiones en el lapso de las primeras 8 a 16 semanas. CONCLUSIONES: El lupus miliar diseminado facial es una patologia subdiagnosticada cuya caracteristica principal es la presencia de un componente hiperqueratosico folicular que involuciona dejando cicatrices en pica-hielo. El tratamiento con corticosteroides ha mostrado una mejoria en las lesiones, coincidiendo con la literatura publicada.ABSTRACT BACKGROUND: Disseminated lupus miliary of the face has been reported infrequently at the time that has received multiple denominations. Clinically it is characterized by brown erythematous monomorphic papules of between 1 to 4 mm in diameters and icepick scars like to acne. METHODS: A descriptive study that included seven cases presented in this research, they show the clinical and histological manifestations of this pathology, the same ones that coincide with that reported in the literature, with the exception of a central hyperkeratotic component in some lesions, not previously reported, and which has been corroborated with microscopy. RESULTS: The correct diagnosis and treatment of the presented cases had a marked reduction of lesions during the first 8 to 16 weeks. CONCLUSIONS: Disseminated lupus miliary of the face is misdiagnosis pathology, principally characterized by a follicular hiperqueratosis component with a regressive icepick scar. Treatment with corticosteroids has shown improvement in lesions, coinciding with the reported literature.