Which physical findings are characteristic of a granulomatous variant of rosacea (acne agminata/lupus miliaris disseminatus faciei)?

Updated: Aug 14, 2018
  • Author: Agnieszka Kupiec Banasikowska, MD; Chief Editor: William D James, MD  more...
  • Print
Answer

A rare granulomatous variant of rosacea (acne agminata/lupus miliaris disseminatus faciei) can manifest with inflammatory erythematous or flesh-colored papules distributed symmetrically across the upper part of the face, particularly around the eyes and the nose. The lesions tend to be discrete, and surrounding erythema is not a marked feature but may be present. These patients often do not have a history of flushing. This pattern of rosacea is sometimes associated with scarring and may be resistant to conventional treatment.

See Practice Essentials for details on the 2016 global rosacea consensus that one diagnostic or two major phenotypes are required for the diagnosis of rosacea.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!