Lupus tumidus

Julia Nowowiejska; Anna Baran; Julita A. Krahel; Iwona Flisiak

doi:10.5114/dr.2019.92738

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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6/2019
vol. 106

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abstract:

Case report

Lupus tumidus

Julia Nowowiejska

¹

,

Anna Baran

¹

,

Julita A. Krahel

¹

,

Iwona Flisiak

¹

Department of Dermatology and Venereology, Medical University of Bialystok, Bialystok, Poland/Klinika Dermatologii i Wenerologii, Uniwersytet Medyczny w Białymstoku, Białystok, Polska

Dermatol Rev/Przegl Dermatol 2019, 106, 656–661

DOI: https://doi.org/10.5114/dr.2019.92738

Online publish date: 2020/02/07

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Introduction
Lupus tumidus is a rare type of chronic cutaneous lupus erythematosus characterized by recurring non-scarring, erythematous-oedematous skin lesions, located on sun-exposed areas.

Objective
To present two cases of patients with lupus tumidus.

Case reports
1. A 54-year-old woman was admitted to the Department of Dermatology due to erythematous-oedematous lesions on dorsal parts of hands, face and thighs, self-resolving. Broad evaluation for connective tissue disorders revealed no relevant abnormalities. Finally, lupus tumidus was diagnosed and hydroxychloroquine was introduced. During the therapy a breast cancer was diagnosed. 2. A 45-year-old woman presented to the Department in order to treat erythematous-oedematous lesions located on the face, shoulders and upper torso that appeared 3 months earlier. The histopathological examination revealed lupus tumidus.

Conclusions
Lupus erythematosus tumidus diagnosis may pose diagnostic difficulties. Among the types of lupus erythematosus, it is distinguished by regression without scarring, significant ultraviolet hypersensitivity and rapid clinical improvement after antimalarial drugs.

keywords:

Lupus tumidus

Julia Nowowiejska 1 , Anna Baran 1 , Julita A. Krahel 1 , Iwona Flisiak 1

cutaneous lupus erythematosus, lupus tumidus, hydroxychloroquine

Julia Nowowiejska

¹

,

Anna Baran

¹

,

Julita A. Krahel

¹

,

Iwona Flisiak

¹