Lupus tumidus is considered a rare subtype of chronic cutaneous lupus erythematosus, characterized by erythema and bright urticarial erythematous- violaceous. Tumid lupus erythematosus (TLE), also known as lupus erythematosus tumidus, is a highly photosensitive form of cutaneous lupus erythematosus (cutaneous. MalaCards based summary: Lupus Erythematosus Tumidus, also known as intermittent cutaneous lupus, is related to lupus erythematosus and discoid lupus .
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Get free access to newly published articles Create a personal account or sign in to: The main differential diagnoses are polymorphous light eruption, Jessner’s lymphocytic infiltration of the skin, reticular erythematous mucinosis, and pseudolymphoma.
Lupus Erythematosus Tumidus: A Unique Disease Entity
Footnotes Conflict of Interest: Polymorphous light eruption is a frequent UV-induced dermatitis utmidus papular, papulovesicular, or plaquelike appearance. Our patient is young and would benefit from steroid sparing treatments. It is important to distinguish LET from other variants of CLE based on histology and clinical features since the course of disease and treatment response significantly differs. A year-old female patient presented with a complaint of lesion on the thorax for 4 months.
In contrast to SCLE and DLE, 30323347 follicular hyperkeratosis, epidermal atrophy, vacuolar degeneration, and thickening of the basement membrane zone usually are not found. One of the patients had had LET for more than 30 years at presentation in our clinic; however, most patients had been affected for less than 6 years Table 1.
Tumodus th anniversary of lupus erythematosus tumidus. Copyright American Medical Association. Histopathology reveals no kupus hyperkeratosis, epidermal atrophy, vacuolar degeneration or basal membrane thickening, usually identified at SCLE and discoid lupus.
Lupus tumidus was first described by Gougerot and Bournier in They involve sun-exposed areas eg, face, upper back, V area of the neck, extensor lupks of the arms, and shoulders ; spare the knuckles, inner aspect of the arms, and axillae; and have never been detected below the waist Figure 2.
In this report, we have analyzed the clinical, histological, photobiological, and laboratory features of 40 patients with LET. Received Jul 17; Accepted Oct Sign in to customize your interests Sign in to your personal account. Given her clinical presentation and histopathologic findings, a diagnosis of lupus erythematosus tumidus LET was made.
These patients were placed on the same antimalarial therapy and again achieved remission within 12 weeks. The aim of treatment for cutaneous LE is to prevent flares, improve appearance and to prevent scarring.
Lupus Erythematosus Tumidus: A Unique Disease Entity
Histopathology reveals perivascular and periannexal lymphohistiocytic infiltrates in the papillary and reticular dermis and interstitial mucin deposition. Circulating autoantibodies and immune complexes are due to loss of normal immune tolerance and are pathogenic. Lupus erythematosus tumidus fumidus a separate luphs of cutaneous lupus erythematosus.
More than drugs have been associated with the onset of subacute cutaneous LE. In our patient, despite already being treated with hydroxychloroquine sulfate, mycophenolate mofetil, and tacrolimus for SLE and lupus nephritis, she developed lesions of LET.
These questions and problems exemplify the need for further evidence-based treatments and the development of an algorithmic approach to treatment. The youngest patient was aged 9 months at initial diagnosis and had already had recurrent skin lesions for 10 years. Author information Copyright and License information Disclaimer. Open in a separate window.
She also mentioned the appearance of a small erythematous-infiltrated plaque about two centimeters in diameter at the left frontoparietal region fifteen days before the medical appointment. Lupus erythematosus tumidus—a neglected subset of cutaneous Lupus erythematosus: Moderate perivascular infiltrate in the dermis.
Lupus erythematosus tumidus, systemic lupus erythematosus, lupus nephritis, cutaneous lupus erythematosus.
Get free access to newly published articles. In summary, LET presents a rare, kupus distinct, subset of CCLE with characteristic clinical features requiring correlation with histological, photobiological, and laboratory findings, since, taken in isolation, other diagnoses can be indicated.
Histopathologic findings in lupus erythematosus tumidus: Anti-nuclear antibody, anti-Ro antibody, complete blood count and complement lupsu were all within the normal range.
As previously described, 15 results of direct immunfluorescence in specimens from patients with LET have mostly been negative at the dermoepidermal junction or around the papillary and reticular dermal blood vessels. DermNet NZ does not provide an online consultation service.
Following the five week prednisone taper, she has been without any further eruptions to date. The infiltrate was composed of lymphocytes, histiocytes, plasma cells, and a few scattered neutrophils. The clinical tumidsu is met with the presence of erythematosus, thick plates with a smooth and edematous surface on sun-exposed areas that leave no scar after regression.