A case of generalized acute cutaneous lupus erythematosus
A case of acute cutaneous lupus erythematosus is reported. A 75-year-old male presented with asymptomatic erythema on both the ears and face for over a month. Dermatological examination showed fused erythema on both sides of the face and ears. Multiple erythema, maculae and red papules in different...
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editoiral office of Journal of Diagnosis and Therapy on Dermato-venereology
2024-01-01
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Series: | Pifu-xingbing zhenliaoxue zazhi |
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Online Access: | http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2024.01.005 |
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author | Yun ZHAO Jianqin LI Shiping ZHAN Qianwen FAN Yonghua TONG Changzheng HUANG |
author_facet | Yun ZHAO Jianqin LI Shiping ZHAN Qianwen FAN Yonghua TONG Changzheng HUANG |
author_sort | Yun ZHAO |
collection | DOAJ |
description | A case of acute cutaneous lupus erythematosus is reported. A 75-year-old male presented with asymptomatic erythema on both the ears and face for over a month. Dermatological examination showed fused erythema on both sides of the face and ears. Multiple erythema, maculae and red papules in different sizes were seen on the back, and some lesions were accompanied with scales. Under a dermoscope, there were perifollicular white halos and amorphous areas with scales on red background. Histopathological examination of facial skin lesions showed epidermal atrophy and liquefaction degeneration of the basal cells, and perivascular infiltration of lymphocytes in the superficial and middle dermis. Alcian blue staining was focally positive in the dermis. Diagnosis: generalized acute cutaneous lupus erythematosus. Satisfactory results were achieved after oral administration of hydroxychloroquine combined with methylprednisolone tablets. No recurrence was observed during follow-up. |
first_indexed | 2024-04-24T20:29:01Z |
format | Article |
id | doaj.art-7467f87bd27446bfadd041f16b6ece99 |
institution | Directory Open Access Journal |
issn | 1674-8468 |
language | zho |
last_indexed | 2024-04-24T20:29:01Z |
publishDate | 2024-01-01 |
publisher | editoiral office of Journal of Diagnosis and Therapy on Dermato-venereology |
record_format | Article |
series | Pifu-xingbing zhenliaoxue zazhi |
spelling | doaj.art-7467f87bd27446bfadd041f16b6ece992024-03-22T02:47:02Zzhoeditoiral office of Journal of Diagnosis and Therapy on Dermato-venereologyPifu-xingbing zhenliaoxue zazhi1674-84682024-01-01311293210.3969/j.issn.1674-8468.2024.01.005A case of generalized acute cutaneous lupus erythematosusYun ZHAO0Jianqin LI1Shiping ZHAN2Qianwen FAN3Yonghua TONG4Changzheng HUANG5General Hospital of the Yangtze River Shipping, Wuhan 430015, ChinaGeneral Hospital of the Yangtze River Shipping, Wuhan 430015, ChinaGeneral Hospital of the Yangtze River Shipping, Wuhan 430015, ChinaGeneral Hospital of the Yangtze River Shipping, Wuhan 430015, ChinaGeneral Hospital of the Yangtze River Shipping, Wuhan 430015, ChinaUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, ChinaA case of acute cutaneous lupus erythematosus is reported. A 75-year-old male presented with asymptomatic erythema on both the ears and face for over a month. Dermatological examination showed fused erythema on both sides of the face and ears. Multiple erythema, maculae and red papules in different sizes were seen on the back, and some lesions were accompanied with scales. Under a dermoscope, there were perifollicular white halos and amorphous areas with scales on red background. Histopathological examination of facial skin lesions showed epidermal atrophy and liquefaction degeneration of the basal cells, and perivascular infiltration of lymphocytes in the superficial and middle dermis. Alcian blue staining was focally positive in the dermis. Diagnosis: generalized acute cutaneous lupus erythematosus. Satisfactory results were achieved after oral administration of hydroxychloroquine combined with methylprednisolone tablets. No recurrence was observed during follow-up.http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2024.01.005lupus erythematosusacute cutaneousgeneralizeddermoscope |
spellingShingle | Yun ZHAO Jianqin LI Shiping ZHAN Qianwen FAN Yonghua TONG Changzheng HUANG A case of generalized acute cutaneous lupus erythematosus Pifu-xingbing zhenliaoxue zazhi lupus erythematosus acute cutaneous generalized dermoscope |
title | A case of generalized acute cutaneous lupus erythematosus |
title_full | A case of generalized acute cutaneous lupus erythematosus |
title_fullStr | A case of generalized acute cutaneous lupus erythematosus |
title_full_unstemmed | A case of generalized acute cutaneous lupus erythematosus |
title_short | A case of generalized acute cutaneous lupus erythematosus |
title_sort | case of generalized acute cutaneous lupus erythematosus |
topic | lupus erythematosus acute cutaneous generalized dermoscope |
url | http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2024.01.005 |
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