Rosacea – Granulomatous Rosacea

Granulomatous Rosacea (also called Lupus Miliaris Disseminata Faciei) is a very rare variant of rosacea which I occasionally see in my Woodlands dermatology and Conroe dermatology clinics.  It usually occcus in male patients in their 20’s and 30’s.  Typically red/yellow/brown indurated papules arise on the central face with a predilection for the eyelids.  They resolve with ulceration and pustulation leaving disfiguring scars.  In addition to the face, the papules can occur on the trunk and occasionally in the axillae.  There is no specific cause or trigger known for Granulomatous Rosacea as the etiology is rather unclear.  Treatment involves using an antibiotic such as doxycyline for its anti-inflammatory properties as well as an oral steroid such as prednisone in severe cases.