LMDF is a rare, chronic, inflammatory skin disease primarily affecting the central face. Historically, it was believed to be a form of tuberculosis because of the way its lesions look under a microscope (granulomas with "caseation"), but modern testing has consistently failed to find tuberculosis bacteria.
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It typically appears as small, reddish-yellow or brown dome-shaped papules. These are often found around the eyelids, cheeks, and mouth.
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