Three patients with the unusual combinations of discoid lupus, systemic lupus erythematosus (SLE), and progressive systemic sclerosis (PSS) are reported. The first patient developed PSS eight years after a diagnosis of discoid lupus had been made and this was complicated by myositis six years later. The second patient developed PSS more than 20 years after being diagnosed as having SLE. The thi...

Discoid Lupus Erythematosus is usually localized on the open areas. On scalp it causes dilatation and plugging of hair follicles with adherent scales, this leads to destruction permanent alopecia. Initial manifestation disease can be difficult recognize. Early visit Dermatologist recommended. Differential diagnosis scarring alopecia include trauma, burn, tinea capitis, lichen planus, psoriasis,...

The use of cultured human epithelial cells as a substrate for the detection of antinuclear antibodies (ANAs) improves the sensitivity of detection above the standard substrates used. Standard antisera have been screened against a series of epithelial cell lines, including keratinocytes. Selected cells have then been used to detect ANAs in 78 patients with discoid lupus erythematosus.

In a disease with such widespread and variable manifestations as systemic lupus erythematosus the diagnosis, at least in the early stages, often depends upon a clinical suspicion supported by laboratory investigations, notably the demonstration of lupus erythematosus (L.E.) cells. While this test is highly specific for systemic lupus erythematosus it has these disadvantages. In a few patients L...

Lupoid leishmaniasis is an unusual complication of acute cutaneous leishmaniasis which can represent a diagnostic and therapeutic challenge. The disease is actually a reactivation of an earlier acute cutaneous infection. It usually starts close to or in the scar of previous lesion and can cause severe destruction. Its diagnosis is complicated by the sparsity of the microorganisms in the d...