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경구 Mini-pulse Steroid Therapy로 치료한 안면파종좁쌀루푸스 2예
나찬호 ( Chan Ho Na ),이예선 ( Yea Son Lee ),최훈 ( Hoon Choi ),신봉석 ( Bong Seok Shin ),김민성 ( Min Sung Kim ) 대한피부과학회 2019 大韓皮膚科學會誌 Vol.57 No.1
Lupus miliaris disseminatus faciei (LMDF) is a rare granulomatous skin disease mainly affecting the central area of the face. A variety of treatments are reportedly of some benefit; however, controlled studies to establish the best treatment are lacking. Here, we report the cases of a 33-year-old man who presented with multiple, various-sized, erythematous maculopapules on the face and a 19-year-old man who presented multiple, reddish papuloplaques distributed on the face. Histopathological examinations of the two cases revealed large clear-boundary epithelioid cell granulomas with central necrosis surrounded by lymphocytic infiltration. Based on the clinical and histological findings, diagnoses of LMDF were made. As oral tetracycline and antimalarials were not fully effective in our cases, oral mini-pulse steroid therapy (dexamethasone, 5 mg bid for 2 days per week) was initiated. After several months, the eruption significantly improved, and most lesions were resolved. Here, we report two cases of LMDF successfully treated with oral mini-pulse steroid therapy. (Korean J Dermatol 2019;57(1):20∼23)