Coexistence of Tumid Lupus Erythematosus and Discoid Lupus Erythematosus

Abadías-Granado, I. ; Sánchez-Bernal, J. ; Felipo-Berlanga, F. (Universidad de Zaragoza) ; Ara-Martín, M. (Universidad de Zaragoza)

Resumen: To the Editor:
In 1909 the term lupus erythematosus tumidus was coined by Hoffmann, 1 and in 1930 Gougerot and Burnier2 described the cases of 5 patients with similar clinical pictures consisting of nonscarring, erythematous, indurated facial lesions without surface changes. This condition, also known as tumid lupus erythematosus (TLE), has been largely overlooked in the literature, but has been recently characterized as a subtype of cutaneous lupus erythematosus (CLE) with peculiar clinical, photobiological, histological, and prognostic features.
A 70-year-old woman with a history of hypertension and Hashimoto thyroiditis was seen for asymptomatic skin lesions on the face that had appeared during the summer 5 months earlier and were not associated with any systemic clinical signs. The appearance of the facial lesions coincided with worsening of pre-existing lesions on the scalp and associated hair loss.
Physical examination revealed the presence of erythematous, edematous, infiltrated, nondesquamative plaques on the face, cervical region, and upper chest (Fig. 1A), as well as erythematous, desquamative, alopecic plaques on the parietal and right retroauricular areas of the scalp (Fig. 1B)...

Idioma: Inglés

DOI: 10.1016/j.adengl.2019.02.002

Año: 2019

Publicado en: Actas Dermo-Sifiliograficas 110, 3 (2019), 253-255
ISSN: 0001-7310

Factor impacto SCIMAGO: 0.294 - Dermatology (Q3) - Pathology and Forensic Medicine (Q3) - Histology (Q3)

Tipo y forma: (PostPrint)

Área (Departamento): Área Dermatología (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Area Anatomía Patológica (Dpto. Anat.Pat.Med.Leg.For.To.)