A case of lupus miliaris disseminatus faciei on the neck

Lupus miliaris disseminatus faciei (LMDF) is an eruption of discrete red-brown, dome-shaped papules, histologically characterized by epithelioid cell granulomas. Although it is thought that LMDF might occur by an unusual reaction to pilosebaceous units, the exact reason for facial predominant occurrence is not clear. There have been extrafacial reports of LMDF on the axillae, shoulders, arms, hands, groins and legs together with facial lesions, but reports on LMDF solely involving the extrafacial areas have not been made. Herein we report a rare case of LMDF on the neck of a patient without any facial manifestations.