Chronic cutaneous lupus erythematosus with palpebral involvement
Keywords:
chronic cutaneous lupus, palpebral lupus, discoid lupus, lupus erythematosus tumidus, eyelid edema, eyelid erythemaAbstract
Cutaneous lupus erythematosus includes a wide spectrum of dermatological manifestations. Of all its clinical forms, the most frequent is chronic cutaneous lupus, and discoid lupus is the most prevalent variant. Eyelid involvement as the only manifestation of this disease is extremely rare, and often involves delays in diagnosis and treatment due to the large number of differential diagnoses presented by this clinical situation. We report a series of two cases with palpebral involvement as the only initial clinical manifestation of lupus erythematosus, and we made a literature review of chronic cutaneous lupus with ocular involvement. We emphasize the importance of early diagnosis and treatment to avoid aesthetic and functional sequelae.
References
I. 1. Bielsa Marsol I, Rodríguez Caruncho C. Manifestaciones cutáneas del lupus eritematoso. Inmunología 2010;29:100-110.
II. 2. Obermoser G, Sontheimer RD, Zelger B. Overview of common, rare and atypical manifestations of cutaneous lupus erythematosus and histopathological correlates. Lupus 2010;19:1050-1070.
III. 3. Gilliam JN, Sontheimer RD. Distinctive cutaneous subsets in the spectrum of lupus erythematosus. J Am Acad Dermatol 1981;4:471-475.
IV. 4. Strigna O, Troielli P, Abad ME, Bendjuia G et ál.Consenso sobre Lupus Eritematoso Cutáneo. Actualización[en línea] Sociedad Argentina de Dermatologia; 2016. Disponible en: http://www.sad.org.ar/wp-content/uploads/2016/04/LUPUS-FINAL-07122016.pdf.[Consultado enero de 2020].
V. 5. Ortega SM, Barbarulo A, Spelta MG, Gavazza S,et ál. Lupus eritematoso cutáneo : revisión de nuestra casuística en los últimos 15 años. Dermatol Argent 2011;17:116-122.
VI. 6. Ríos AR, Rosso MV, García S, Della S. Lupus cutáneo crónico : estudio retrospectivo de los últimos 10 años en el Hospital Posadas. Dermatol Argent 2018;24:136-140.
VII. 7. Zambernardi A, Bendjuia G, Manzano RE, Berben MD,et ál. Cutaneous lupus erythematosus. A study of 92 patients. Dermatol Argent 2018;24:41-46.
VIII. 8. Silva LL da C, Romiti R, Nico MMS. Persistent eyelid edema and erythema as manifestation of lupus erythematosus: a series of six cases. J Dtsch Dermatologischen Gesellschaft 2015;13:917-920.
IX. 9. Wu YF, Kuo TT, Lu PH, Chen MJ,et ál. Cutaneous lupus erythematosus manifesting as unilateral eyelid erythema and swelling. Dermatologica Sin 2012;30:25-28.
X. 10.Pandhi D, Singal A, Rohtagui J. Eyelid involvement in disseminated chronic cutaneous lupus erythematosus. Indian J Dermatol Venereol Leprol 2006;2:370-372.
XI. 11. Gupta T, Beaconsfield M, Rose GE, Verity DH. Discoid lupus erythematosus of the periorbita: Clinical dilemmas, diagnostic delays. Eye 2012;6:609-612.
XII. 12. Arrico L, Abbouda A, Abicca I, Malagola R. Ocular complications in cutaneous lupus erythematosus: a systematic review with a meta-Analysis of reported cases.[en línea]J Ophthalmol 2015:1-8.11 de junio de2015.Disponible en: https://doi.org/10.1155/2015/254260 [Consultado enero de 2020].
XIII. 13.Donzis PB, Insler MS, Buntin DM, Gately LE. Discoid lupus erythematosus involving the eyelids. Am J Ophthalmol 1984;98:32-36.
XIV. 14. Chomiciene A, Stankeviciute R, Malinauskiene L, Grigaitiene J,et ál. Rare cause of periorbital and eyelids lesions: discoid lupus erythematosus misdiagnosed as allergy. Ann Allergy, Asthma Immunol 2017;119:568-569.
XV. 15. Makeeva V, Seminario-Vidal L, Beckum K, Sami N. Bilateral periorbital swelling as the initial presentation of cutaneous lupus erythematosus. JAAD Case Reports 2016;2:72-76.
XVI. 16. Wu MY, Wang CH, Ng CY, Kuo TT,et ál. Periorbital erythema and swelling as a presenting sign of lupus erythematosus in tertiary referral centers and literature review. Lupus 2018;27:1828-1837.
XVII. 17. Okon L, Werth V. Cutaneous Lupus Erythematosus: diagnosis and treatment. Best Pract Res Clin Rheumatol 2013;27:91-404.
XVIII. 18. Vassallo C, Colombo C, Rikki Canevari F, Brazzelli V,et ál. Monolateral severe eyelid erythema and edema as unique manifestation of lupus tumidus. Int J Dermatol 2005;44:858-860.
Downloads
Published
Issue
Section
License
El/los autor/es tranfieren todos los derechos de autor del manuscrito arriba mencionado a Dermatología Argentina en el caso de que el trabajo sea publicado. El/los autor/es declaran que el artículo es original, que no infringe ningún derecho de propiedad intelectual u otros derechos de terceros, que no se encuentra bajo consideración de otra revista y que no ha sido previamente publicado.
Le solicitamos haga click aquí para imprimir, firmar y enviar por correo postal la transferencia de los derechos de autor