With chronological aging, hair turns gray. Untimely premature hair graying (PHG) may tremendously influence on cosmesis, self-credibility, and social life of the affected individuals. Consequently, early treatment is required to improve cosmetic appearance. To the best of our knowledge, until today, only one case of PHG is reported in the literature, and it occurred due to iron deficiency and successfully treated with ferrous sulfate. Herein, we delineate a case of PHG in a 14-year-old female treated with the topical formulation of Melitane 5% and oral hair supplements which resulted in boosting improvement in hair color.
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A rare granulomatous disease of unknown origin is lupus miliaris disseminatus faciei (LMDF). Associated pitted scars are major complication leads to psychological distress resulting in increased demand for dermatological consultation. Histopathologically, epithelioid granulomas with caseation necrosis are the typical presentation. Advanced research is still ongoing, yet its treatment remains challenging. Management should be individually structured and, the appropriate combination may have a beneficial effect. We report an LMDF case with facial and extra facial localization successfully treated with a combination of medications, the fractional CO2 laser and fillers. In conclusion, the attitude of the patient towards the scar has considerably improved after treatment. In the past era, most authors assumed that a relationship existed between tuberculosis, rosacea and sarcoidosis, however, many authors found it to be a distinct entity. Herein, we also discussed the distinction between listed the ambiguous entities.
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