Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth
Scalp involvement with hair loss is common in systemic lupus erythematosus. Discoid lupus erythematosus may cause scarring alopecia, characterized by well-delimited erythematous plaques with scales, follicular hyperkeratosis and atrophy, which is considered a trichological emergency. Early diagnosis...
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| Format: | Article |
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Sociedade Portuguesa de Dermatologia e Venereologia
2021-06-01
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| Series: | Revista da Sociedade Portuguesa de Dermatologia e Venereologia |
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| Online Access: | https://revista.spdv.com.pt/index.php/spdv/article/view/1283 |
| _version_ | 1818766157585317888 |
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| author | Cleide Garbelini-Lima Gabriela Evangelista de Almeida Sidharta Quércia Gabdelha Andrea Cavalcante de Souza Mara Lúcia Gomes de Souza Virginia Vilasboas Figueiras |
| author_facet | Cleide Garbelini-Lima Gabriela Evangelista de Almeida Sidharta Quércia Gabdelha Andrea Cavalcante de Souza Mara Lúcia Gomes de Souza Virginia Vilasboas Figueiras |
| author_sort | Cleide Garbelini-Lima |
| collection | DOAJ |
| description | Scalp involvement with hair loss is common in systemic lupus erythematosus. Discoid lupus erythematosus may cause scarring alopecia, characterized by well-delimited erythematous plaques with scales, follicular hyperkeratosis and atrophy, which is considered a trichological emergency. Early diagnosis and treatment are necessary in order to prevent permanent hair loss. We describe a 44 years’ old female patient with systemic lupus erythematosus for 4 years, with multiple areas of occipitoparietal alopecia, erythematous plaques, atrophy, scales and some bloody crusts. Trichoscopy, histopathology and direct immunofluorescence led to the diagnosis of discoid lupus erythematosus. After 9 months treatment with thalidomide there was complete hair regrowth. |
| first_indexed | 2024-12-18T08:29:32Z |
| format | Article |
| id | doaj.art-80c6b0b8dc0546d88bbc0f17d7d1cb47 |
| institution | Directory Open Access Journal |
| issn | 2182-2395 2182-2409 |
| language | English |
| last_indexed | 2024-12-18T08:29:32Z |
| publishDate | 2021-06-01 |
| publisher | Sociedade Portuguesa de Dermatologia e Venereologia |
| record_format | Article |
| series | Revista da Sociedade Portuguesa de Dermatologia e Venereologia |
| spelling | doaj.art-80c6b0b8dc0546d88bbc0f17d7d1cb472022-12-21T21:14:31ZengSociedade Portuguesa de Dermatologia e VenereologiaRevista da Sociedade Portuguesa de Dermatologia e Venereologia2182-23952182-24092021-06-0179210.29021/spdv.79.2.1283Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair RegrowthCleide Garbelini-Lima0Gabriela Evangelista de Almeida1Sidharta Quércia Gabdelha2Andrea Cavalcante de Souza3Mara Lúcia Gomes de Souza4Virginia Vilasboas Figueiras5Tropical Medicine Foundation Doutor Heitor Vieira Dourado, Manaus, Amazonas, BrazilTropical Medicine Foundation Doutor Heitor Vieira Dourado, Manaus, Amazonas, BrazilTropical Medicine Foundation Doutor Heitor Vieira Dourado, Manaus, Amazonas, BrazilTropical Medicine Foundation Doutor Heitor Vieira Dourado, Manaus, Amazonas, BrazilTropical Medicine Foundation Doutor Heitor Vieira Dourado, Manaus, Amazonas, BrazilTropical Medicine Foundation Doutor Heitor Vieira Dourado, Manaus, Amazonas, BrazilScalp involvement with hair loss is common in systemic lupus erythematosus. Discoid lupus erythematosus may cause scarring alopecia, characterized by well-delimited erythematous plaques with scales, follicular hyperkeratosis and atrophy, which is considered a trichological emergency. Early diagnosis and treatment are necessary in order to prevent permanent hair loss. We describe a 44 years’ old female patient with systemic lupus erythematosus for 4 years, with multiple areas of occipitoparietal alopecia, erythematous plaques, atrophy, scales and some bloody crusts. Trichoscopy, histopathology and direct immunofluorescence led to the diagnosis of discoid lupus erythematosus. After 9 months treatment with thalidomide there was complete hair regrowth.https://revista.spdv.com.pt/index.php/spdv/article/view/1283AlopeciaLupus Erythematosus, Discoid/complicationsLupus Erythematosus, Systemic/complicationsScalp Dermatoses/diagnosisScalp Dermatoses/drug therapyThalidomide |
| spellingShingle | Cleide Garbelini-Lima Gabriela Evangelista de Almeida Sidharta Quércia Gabdelha Andrea Cavalcante de Souza Mara Lúcia Gomes de Souza Virginia Vilasboas Figueiras Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth Revista da Sociedade Portuguesa de Dermatologia e Venereologia Alopecia Lupus Erythematosus, Discoid/complications Lupus Erythematosus, Systemic/complications Scalp Dermatoses/diagnosis Scalp Dermatoses/drug therapy Thalidomide |
| title | Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth |
| title_full | Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth |
| title_fullStr | Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth |
| title_full_unstemmed | Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth |
| title_short | Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth |
| title_sort | discoid lupus erythematosus of the scalp in a patient with systemic lupus erythematosus a case report with complete hair regrowth |
| topic | Alopecia Lupus Erythematosus, Discoid/complications Lupus Erythematosus, Systemic/complications Scalp Dermatoses/diagnosis Scalp Dermatoses/drug therapy Thalidomide |
| url | https://revista.spdv.com.pt/index.php/spdv/article/view/1283 |
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