Lupus Miliaris Disseminatus Faciei With Isolated Axillary Involvement

Background: Lupus miliaris disseminatus faciei (LMDF) is a chronic, granulomatous inflammatory disorder, commonly localized to the face. Objective: To present an unusual manifestation of LMDF and review the literature. Methods: We document a 41-year-old woman with LMDF with isolated axillary involvement. A literature review was conducted using Pubmed, Medline, Embase, and Google Scholar for similar cases using search terms lupus miliaris disseminatus faciei, LMDF, acne agminata, and acnitis. Results: Extrafacial LMDF without concomitant facial involvement is rare; there has been only 1 other report of LMDF with exclusive axillary involvement to date. In addition, we report the successful use of doxycycline monohydrate combined with topical tacrolimus in the treatment of LMDF. Conclusion: Physicians should note that LMDF can occur in body sites other than the face and should be aware of the available treatment options to manage this condition.