Discoid Lupus Erythematosus Presenting With Disfiguring Acneiform Plaques: A Diagnostic Challenge.


Journal

The American Journal of dermatopathology
ISSN: 1533-0311
Titre abrégé: Am J Dermatopathol
Pays: United States
ID NLM: 7911005

Informations de publication

Date de publication:
01 08 2021
Historique:
pubmed: 27 4 2021
medline: 21 12 2021
entrez: 26 4 2021
Statut: ppublish

Résumé

Hypertrophic and acneiform forms are very rare variants of discoid lupus erythematosus (DLE), which can suppose a diagnostic and therapeutic challenge. We present a South American woman with facial disfiguring lesions of 7 years of evolution with clinical and histopathological characteristic of both hypertrophic and acneiform DLE. No criteria for systemic lupus erythematosus were present in the patient. To the best of our knowledge, no patients with concomitant hypertrophic and acneiform DLE have been previously reported in the literature.

Identifiants

pubmed: 33899764
doi: 10.1097/DAD.0000000000001945
pii: 00000372-202108000-00023
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e95-e97

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Haroon TS, Fleming KA. An unusual presentation of discoid lupus erythematosus. Br J Dermatol. 1972;87:642–645.
Motel PJ, Bernstein EF, Fazio M, et al. Systemic lupus erythematosus in patients diagnosed with treatment-resistant acne. Int J Dermatol. 1995;34:338–340.
Chang YH, Wang SH, Chi CC. Discoid lupus erythematosus presenting as acneiform pitting scars. Int J Dermatol. 2006;45:944–945.
Stavrakoglou A, Hughes J, Coutts I. A case of discoid lupus erythematosus masquerading as acne. Acta Derm Venereol. 2008;88:175–176.
Hemmati I, Otberg N, Martinka M, et al. Discoid lupus erythematosus presenting with cysts, comedones, and cicatricial alopecia on the scalp. J Am Acad Dermatol. 2009;60:1070–1072.
Farias DF, Gondim RM, Redighieri IP, et al. Comedonic lupus: a rare presentation of discoid lupus erythematosus. Bras Dermatol. 2011;86:S89–S91.
Vieira ML, Marques E, Leda YL, et al. Chronic cutaneous lupus erythematosus presenting as atypical acneiform and comedonal plaque: case report and literature review. Lupus. 2018;27:853–857.
Droesch C, Magro C. A comedonal variant of chronic cutaneous lupus erythematosus: case report and literature review. JAAD Case Rep. 2019;5:801–805.
Walsh NM, Lai J, Hanly JG, et al. Plasmacytoid dendritic cells in hypertrophic discoid lupus erythematosus: an objective evaluation of their diagnostic value. J Cutan Pathol. 2015;42:32–38.
Wilkinson JD, Black MM, Chu A. Follicular mucinosis associated with mycosis fungoides presenting with gross cystic changes on the face. Clin Exp Dermatol. 1982;7:333–339.

Auteurs

Lucía Prieto-Torres (L)

Departments of Dermatology, and.

Ana L Morales-Moya (AL)

Departments of Dermatology, and.

Mar Garcia-Garcia (M)

Pathology, Hospital Clinico Lozano Blesa, Zaragoza, Spain; and.

Beatriz Aldea-Manrique (B)

Departments of Dermatology, and.

Mariano Ara (M)

Departments of Dermatology, and.

Luis Requena (L)

Dermatology of Fundación Jimenez Diaz, Madrid, Spain.

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