颜面播散性粟粒性狼疮一例

摘要

患者，女，40岁。面部丘疹3年余，以眶周为主，逐渐增多、增大。无明显自觉症状。组织病理示：表皮萎缩变薄，皮突消失变平，真皮浅层可见结核结构，中央可见干酪样坏死，周边可见淋巴细胞、组织细胞、上皮样细胞及多核巨细胞。诊断：颜面播散性粟粒性狼疮。%A 40-years-old female presented with numerous asymptomatic reddish-yellow papules on the face for three years. Biopsy revealed a dermal granulomatous reaction with caseous necrosis in central areas. The diagnosis of lupus miliaris disseminatus faciei was made.