Lupus Vulgaris Disseminated Miliary Facial

**Lupus Ordinary (disseminated) Miliary Facial** is a form of skin tuberculosis that manifests itself in the form of multiple small ulcers formed on the skin of the face. Unlike typical facial tuberculosis, miliary tuberculosis is characterized by a tendency to spread across the face and spread to other parts of the body. Typically, disseminated facial lupus affects patients with weak immune systems, for example after chemotherapy or long-term antibiotic therapy.

***Etiology and pathogenesis.*** The disease is based on the reaction of the immune system to tuberculosis infection. Patients with lupus vulgaris miliaria develop an inflammatory response to the pathogen, which leads to the appearance of a characteristic clinical picture. The main reason for the development of lupus is the imperfection of the immune system, as well as long-term diseases that impair the immune system.

_**Clinical picture and diagnosis.**_ Lupus vulgaris of the miliary face is characterized by a typical clinical picture: multiple small ulcers on the skin, swelling and flushing of the face, low-grade fever, decreased performance and appetite. Small ulcers usually do not hurt or bleed, although they may be itchy. Lupus can occur in mild, moderate and severe forms. The mild form is characterized by a small number of ulcers up to a few millimeters in size, the moderate form is characterized by the appearance of larger ulcers in large quantities throughout the face, the severe form