Severely Crusted Cheilitis as an Initial Presentation of Systemic Lupus Erythematosus

被引：8

作者：

Chan, Wai Man Mandy ^{[1
]}

Pang, Shiu Ming ^{[2
]}

Ng, See Ket ^{[1
]}

机构：

[1] Natl Skin Ctr, Dept Dermatol, Singapore, Singapore

[2] Singapore Gen Hosp, Singapore, Singapore

来源：

INDIAN JOURNAL OF DERMATOLOGY | 2017年 / 62卷 / 04期

关键词：

Cheilitis; crusted; systemic lupus erythematosus; ORAL MUCOSAL LESIONS;

D O I：

10.4103/ijd.IJD_559_16

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Lupus erythematosus (LE) is an autoimmune disease which may initially present solely with lip lesions. Due to a wide spectrum of presentation, these features may initially be misdiagnosed as other oral diseases such as lichen planus, erythema multiforme (EM), and actinic cheilitis, leading to a delay in diagnosis and treatment. We discuss a case of severely crusted cheilitis which was initially diagnosed as EM, with subsequent development of subacute cutaneous LE, and progression to systemic LE. We will discuss the clinical and histological features of lupus cheilitis.

引用

页码：451 / 453

页数：3

共 10 条

[1] METHOTREXATE FOR THE TREATMENT OF SEVERE MUCOCUTANEOUS LUPUS-ERYTHEMATOSUS [J].

BOTTOMLEY, WW ;

GOODFIELD, M .

BRITISH JOURNAL OF DERMATOLOGY, 1995, 133 (02) :311-314

[2] MUCOSAL INVOLVEMENT IN SYSTEMIC AND CHRONIC CUTANEOUS LUPUS-ERYTHEMATOSUS [J].

BURGE, SM ;

FRITH, PA ;

JUNIPER, RP ;

WOJNAROWSKA, F .

BRITISH JOURNAL OF DERMATOLOGY, 1989, 121 (06) :727-741

[3] ORAL LUPUS ERYTHEMATOSUS - 3 CASES DEMONSTRATING 3 VARIANTS [J].

EDWARDS, MB ;

GAYFORD, JJ .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1971, 31 (03) :332-&

[4] The prevalence of oral mucosal lesions and related factors in 188 patients with systemic lupus erythematosus [J].

Khatibi, M. ;

Shakoorpour, A. H. ;

Jahromi, Z. Moosavian ;

Ahmadzadeh, A. .

LUPUS, 2012, 21 (12) :1312-1315

[5] Erythema multiforme-oral variant: Case report and review of literature [J].

Kohli P.S. ;

Kaur J. .

Indian Journal of Otolaryngology and Head & Neck Surgery, 2011, 63 (Suppl 1) :S9-S12

[6] Lupus erythematosus: clinical and histopathological study of oral manifestations and immuno-histochemical profile of epithelial maturation [J].

Lourenco, Silvia Vanessa ;

Sotto, Mirian Nacagami ;

Vilela, Maria Apparecida Constantino ;

de Carvalho, Fabio Rodrigues Goncalves ;

Rivitti, Evandro A. ;

Nico, Marcello Menta Simonsen .

JOURNAL OF CUTANEOUS PATHOLOGY, 2006, 33 (10) :657-662

[7] The lip in lupus erythematosus [J].

Nico, M. M. S. ;

Bologna, S. B. ;

Lourenco, S. V. .

CLINICAL AND EXPERIMENTAL DERMATOLOGY, 2014, 39 (05) :563-569

[8] Systemic lupus erythematosus presenting with oral mucosal lesions: easily missed? [J].

Orteu, CH ;

Buchanan, JAG ;

Hutchison, I ;

Leigh, IM ;

Bull, RH .

BRITISH JOURNAL OF DERMATOLOGY, 2001, 144 (06) :1219-1223

[9] DAPSONE IN THE TREATMENT OF LUPUS-ERYTHEMATOSUS [J].

RUZICKA, T ;

GOERZ, G .

BRITISH JOURNAL OF DERMATOLOGY, 1981, 104 (01) :53-56

[10] ORAL DISCOID LUPUS-ERYTHEMATOSUS .2. SKIN-LESIONS AND SYSTEMIC LUPUS-ERYTHEMATOSUS IN 66 PATIENTS WITH 6-YEAR FOLLOW-UP [J].

SCHIODT, M .

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1984, 57 (02) :177-180

← 1 →