Recalcitrant lupus miliaris disseminatus faciei improved by cyclosporine monotherapy

Lupus miliaris disseminatus faciei (LMDF) is a chronic cutaneous granulomatous disease characterized by multiple smooth reddish or yellowish papules on the central face, especially the lower eyelids and perioral area.1-3 Owing to its clinical manifestations, LMDF has been considered as a variant of granulomatous rosacea (GA).1,2 However, LMDF may be a distinct entity, different from GA, sarcoidosis, and cutaneous tuberculosis.1,2