Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case report

Abstract Background Linear cutaneous lupus erythematosus (LE) is an unusual form of LE-specific cutaneous condition, occurring in children and young adults. Due to its rarity, the diagnosis of linear cutaneous LE can be difficult and facial lesions can resemble linear morphea or en coup de sabre. Di...

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Main Authors: Sasipaka Sindhusen, Kumutnart Chanprapaph, Suthinee Rutnin
Format: Article
Language:English
Published: BMC 2019-11-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-019-2249-7
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author Sasipaka Sindhusen
Kumutnart Chanprapaph
Suthinee Rutnin
author_facet Sasipaka Sindhusen
Kumutnart Chanprapaph
Suthinee Rutnin
author_sort Sasipaka Sindhusen
collection DOAJ
description Abstract Background Linear cutaneous lupus erythematosus (LE) is an unusual form of LE-specific cutaneous condition, occurring in children and young adults. Due to its rarity, the diagnosis of linear cutaneous LE can be difficult and facial lesions can resemble linear morphea or en coup de sabre. Differential diagnosis of similar conditions along the lines of Blaschko must be differentiated from linear LE. Case presentation We report a case of linear discoid LE on the forehead of an adult female Thai patient mimicking en coup de sabre. The dermatoscopy, histopathology and direct immunofluorescence findings were consistent with chronic cutaneous LE. Conclusions As this patient demonstrated classic dermatoscopic features of LE, we emphasized that the diagnosis of linear cutaneous LE can be made by dermatoscopy. This is particularly beneficial for young self-conscious patients with facial lesions that are reluctant to perform skin biopsy.
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spelling doaj.art-b1e5865fe29c435ab5b6954b0d5b6e952022-12-22T00:51:19ZengBMCJournal of Medical Case Reports1752-19472019-11-011311510.1186/s13256-019-2249-7Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case reportSasipaka Sindhusen0Kumutnart Chanprapaph1Suthinee Rutnin2Division of Dermatology, Department of Medicine, Ramathibodi Hospital, Mahidol UniversityDivision of Dermatology, Department of Medicine, Ramathibodi Hospital, Mahidol UniversityDivision of Dermatology, Department of Medicine, Ramathibodi Hospital, Mahidol UniversityAbstract Background Linear cutaneous lupus erythematosus (LE) is an unusual form of LE-specific cutaneous condition, occurring in children and young adults. Due to its rarity, the diagnosis of linear cutaneous LE can be difficult and facial lesions can resemble linear morphea or en coup de sabre. Differential diagnosis of similar conditions along the lines of Blaschko must be differentiated from linear LE. Case presentation We report a case of linear discoid LE on the forehead of an adult female Thai patient mimicking en coup de sabre. The dermatoscopy, histopathology and direct immunofluorescence findings were consistent with chronic cutaneous LE. Conclusions As this patient demonstrated classic dermatoscopic features of LE, we emphasized that the diagnosis of linear cutaneous LE can be made by dermatoscopy. This is particularly beneficial for young self-conscious patients with facial lesions that are reluctant to perform skin biopsy.http://link.springer.com/article/10.1186/s13256-019-2249-7Linear lupus erythematosusDiscoid lupus erythematosusEn coup de sabreLinear morpheaBlaschko line
spellingShingle Sasipaka Sindhusen
Kumutnart Chanprapaph
Suthinee Rutnin
Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case report
Journal of Medical Case Reports
Linear lupus erythematosus
Discoid lupus erythematosus
En coup de sabre
Linear morphea
Blaschko line
title Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case report
title_full Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case report
title_fullStr Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case report
title_full_unstemmed Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case report
title_short Adult-onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre: a case report
title_sort adult onset linear discoid lupus erythematosus on the forehead mimicking en coup de sabre a case report
topic Linear lupus erythematosus
Discoid lupus erythematosus
En coup de sabre
Linear morphea
Blaschko line
url http://link.springer.com/article/10.1186/s13256-019-2249-7
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AT kumutnartchanprapaph adultonsetlineardiscoidlupuserythematosusontheforeheadmimickingencoupdesabreacasereport
AT suthineerutnin adultonsetlineardiscoidlupuserythematosusontheforeheadmimickingencoupdesabreacasereport