Lupus tumidus is considered a rare subtype of chronic cutaneous lupus erythematosus, characterized by erythema and bright urticarial erythematous- violaceous. Tumid lupus erythematosus (TLE), also known as lupus erythematosus tumidus, is a highly photosensitive form of cutaneous lupus erythematosus (cutaneous. MalaCards based summary: Lupus Erythematosus Tumidus, also known as intermittent cutaneous lupus, is related to lupus erythematosus and discoid lupus .
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Lupus tumidus was first described by Gougerot and Bournier in Since then, several attempts have been made to improve on this system or to provide altogether new approaches for the classification of cutaneous LE.
Sign in to download free article PDFs Sign in to access your subscriptions Sign lupis to your personal account. Lupus erythematosus tumidus—a neglected subset of cutaneous Lupus erythematosus: However, she is already taking mycophenolate and tacrolimus.
Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more. Report of 40 Cases.
A year-old caucasian woman with a one-year history of systemic lupus erythematosus SLE was referred to dermatology clinic for a persistent eruption of a rash on her face and arms. Tumixus the histopathologic similarities to lupus tumidus, the lymphocytic infiltration is usually less dense and mucin accumulates mainly at the papillary dermis in REM. Author information Article notes Copyright tumidud License information Disclaimer.
Abstract Lupus erythematosus tumidus LET is a photosensitive skin disease characterized by succulent, edematous, and non-scarring plaques.
Lupus Erythematosus Tumidus: A Unique Disease Entity
Author information Copyright and License information Disclaimer. All of the biopsy specimens showed a distinct subepidermal edema and mucin deposition between collagen bundles Figure 4. Histopathologic findings in lupus erythematosus tumidus: Histopathology reveals no follicular hyperkeratosis, epidermal atrophy, vacuolar degeneration or basal membrane tuimdus, usually identified at SCLE and discoid lupus. In contrast to LET, histological features of Jessner’s lymphocytic infiltration of the skin show no interstitial mucin deposition, but varying numbers of plasma cells may be present.
Sign in to save your search Sign in to your personal account. Support Center Support Center. Sign in to access your subscriptions Sign in to your personal account. Direct immunofluorescence tests may show positive antibody deposition along the basement membrane lupus band test. This cutaneous condition article is a ,upus. Follicular plugging and adherent hyperkeratotic scaling, which are also features of DLE, have not been seen in any tumiuds the patients.
There was no significant difference in outcome between the two different antimalarial treatments. It is important to distinguish LET from other variants of CLE based on histology and clinical features since the course of disease and treatment response significantly differs. Report of 40 cases.
Tumid lupus erythematosus Tumid lupus erythematosus also known as “lupus erythematosus tumidus”  is a rare, but distinctive entity in which patients present with edematous erythematous plaques, usually on the trunk. Anais Brasileiros de Dermatologia. The aim of treatment for cutaneous LE is to prevent flares, improve appearance and to prevent scarring. Features of neonatal cutaneous LE may include:.
Characteristic skin lesions of lupus erythematosus tumidus. In Jessner’s lymphocytic infiltration of the skin, the development of asymptomatic, papulonodular, nonscarring lesions classically involving the face is unrelated to UV exposure in most of the patients. Hyperkeratosis, slight epidermal hyperplasia, and sunburn cells were observed in some of the UV-induced skin lesions.
Epidermis showed atrophy of the spinous layer and numerical and volumetric reduction of interpapillary ridges. Lupus erythematosus tumidus LET is a photosensitive skin disease characterized by succulent, edematous, and non-scarring plaques.
The treatment can also include topical corticosteroids, systemic corticosteroids and high sun protection factor levels 30or higher. This case exemplifies the need for complete disease characterization, evidence-based treatment, and a multidisciplinary approach. This page was last edited on 1 Julyat Cutaneous manifestations of lupus can be classified into specific subtypes — which include chronic cutaneous lupus erythematosus CCLEsubacute cutaneous lupus erythematosus SCLE and acute cutaneous lupus erythematosus ACLE — and nonspecific skin lesions — such as panniculitis, vasculitis and tumid lesions.
lupuss Discussion LET is a photosensitive skin disease that is characterized by succulent, edematous, non-scarring plaques. A punch biopsy of her right upper extremity revealed a superficial and deep periadnexal and interstitial infiltrate Figure 3.
Despite being first described inthere are few case reports in the current literature describing this disease and even fewer that discuss treatment.
Cutaneous lupus erythematosus
Unlike subacute cutaneous lupus erythematosus SCLElupus tumidus presents no residual hypopigmentation. She complained of mild pruritis and tenderness. Fisher exact test was used to determine the significance. Course of the disease and therapy. It has been suggested that it is equivalent to Jessner lymphocytic infiltrate of the skin.
Cutaneous lupus erythematosus | DermNet NZ
Topical corticosteroids are not effective as treatment for LET, but many will respond to chloroquine. In 3 patients, the dose had to be increased to 6—6. Anti-nuclear antibody, anti-Ro antibody, complete blood count and complement tests were all within the normal range.
National Center for Biotechnology InformationU. Specific features of acute cutaneous LE may include:. Treatment is based on photoprotection, topical corticosteroids and antimalarials. Cigarette smokers who have LET may not respond very well to chloroquine. A mildly elevated creatinine level from We describe a case of a year-old woman with systemic lupus erythematosus SLE and secondary class V lupus nephritis.
Because of the rapid and effective lupuz of the skin lesions after treatment with antimalarials, systemic corticosteroids or immunosuppressants were temporarily necessary in only 2 patients. Copyright American Medical Association.