Discoid lupus erythematosus: when a superficial injury is a red herring of underlying disease.
نویسندگان
چکیده
Senderey E, Patel S. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222235 Description A 64-year-old woman with no dermatological history presents with a rash over her left eyebrow for the past 3 months with associated itching. The patient also states she has a bruise on her scalp from an accidental injury 1 year previously that continues to be sore. She was previously seen by her primary care physician after her injury, who dismissed the lesion as a haematoma. On physical examination, the patient has a single erythematous papule on the left eyebrow with grey dot granules and mild telangiectasia (figure 1). On examination of the right frontal scalp, the patient has a well-demarcated, erythematous lesion with induration and overlaying alopecia (figure 2). Remaining dermatological examination is unremarkable. A punch biopsy of both lesions was taken. Pathology showed scarring alopecia of the scalp associated with cutaneous lupus erythematosus and corresponding results for the eyebrow lesion. With suspicions of discoid lupus erythematosus confirmed by biopsy, proper management of the patient could commence. The patient was referred to rheumatology where workup for systemic lupus erythematosus was negative. The patient was then prescribed clobetasol propionate 0.05% foam and hydrocortisone 2.5% cream for topical application. On follow-up dermatology visit 21 days after initiation of treatment, the patient reports complete resolution of the lesion on the left eyebrow and decreased irritation and redness of the scalp lesion.
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ورودعنوان ژورنال:
- BMJ case reports
دوره 2017 شماره
صفحات -
تاریخ انتشار 2017