|LETTER TO EDITOR
|Year : 1990 | Volume
| Issue : 6 | Page : 467
Lalit Mohan, PS Bhatia, Rajiv Mishra, RD Mukhija
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Mohan L, Bhatia P S, Mishra R, Mukhija R D. DLE-clinical variant. Indian J Dermatol Venereol Leprol 1990;56:467
To the Editor,
A 40-year-old female had multiple, erythematous, thick scaly lesions, progressive in nature on the sun-exposed areas as well as covered areas for last 3 years. The lesions had itching and burning sensation on exposure to sunlight. There was no history of fever, arthritis, Raynaud's phenomenon, purpuric spots, cough, breathlessness, chest pain and palpitation.
Examination revealed multiple, well defined, erythematous, thick, adherent, scaly plaques of 2-10 cms on the scalp, face, chest, back and extremities [Figure - 1]. Occiput had scarring alopecia. Lesions on the face showed atrophy, scarring and hypopigmentation. Carpet tacks sign was positive and Auspitz's sign was negative. Joints were normal. Systemic examination did not reveal any significant finding.
The haematological, urine, stool and skiagram of the chest were normal. VDRL, Rheumatoid Antibody test and L.E. cell test were negative. Histopathology showed hyperkeratosis with keratotic follicular plugging, thinning and flattening of the stratum malpighii, liquefaction degeneration of basal cells, a patchy lymphocytic infiltration around the appendages and vasodilation in the upper dermis.
Psoriasiform subacute cutaneous lupus erythematosus (SCLE) has a delicate surface scale in contrast to the thick and non-adherent scales seen in our case,. Our case had psoriasiform appearance with characteristic dilation and plugging of follicles without systemic involvement. No other A.R.A. criteria of SCLE except photosensitivity was seen. The serological findings were in favour of D.L.E. This case is being reported because of its unusual presentation of D.L.E.
| References|| |
|1.||Domonkos AN, Arnold HL and Odom RB: Andrew's diseases of the skin, 7th ed, WB Saunders Company, London, 1982; p175. |
|2.||Sontheimer RD, Rothfield N and Gilliam JN: Lupus Erythematosus, in: Dermatology in General Medicine, 3rd ed, Editors, Fitzpatrick TB, Eisen AZ, Wolf K et al: Mc Graw-Hill Book Company, New York, 1987; p1817-1826. |
|3.||Gilliam JN, Cohen SB, Sontheimer RD et al: Connective tissue disease, in : Dermatology, 2nd ed, Editors, Moschella SL and Hurley HJ, WB Saunders, Philadelphia, 1985; p 1096. |
[Figure - 1]