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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In all lesions of LET, a distinct subepidermal edema is present, and moderate to copious interstitial mucin deposition is detected with the use of colloidal iron staining. What are the specific features of cutaneous lupus tumjdus Get free access to newly published articles.

Clinical and immunologic studies in reticular erythematous mucinosis and Jessner’s lymphocytic infiltration of the skin.

Fisher exact test was used to determine the significance. Right upper arm with blanching inflamed plaques with raised borders. Bianca Pinheiro Bousquet Muylaert, R.

Sign in to make a comment Sign in to your personal account. Lupus tumidus is a rare subtype of CCLE, and its diagnosis can be confirmed by the correlation between clinical and histopathological manifestations. There was no significant difference in outcome between the two different antimalarial treatments.

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Histopathology reveals no follicular hyperkeratosis, epidermal atrophy, vacuolar degeneration or basal membrane thickening, usually identified at SCLE and discoid lupus. What if there is a fourth recurrence?

Verh Dtsch Ges Pathol. Tumid lupus erythematosus Tumid lupus erythematosus also known as “lupus erythematosus tumidus” [1] is a rare, but distinctive entity in which patients present with edematous erythematous plaques, usually on the trunk.

She was also being treated for biopsy proven class V lupus nephritis with mycophenolate mofetil mg twice a day, tacrolimus 2mg twice a day, and hydroxychloroquine sulfate mg daily 4.

Tumid lupus erythematosus

The perivascular and periadnexal infiltrate is composed of lymphocytes and, in some cases, scattered neutrophils are seen. We report two cases of lupus tumidus, which deserve attention for their low frequency in the literature, in addition to their relevance as a differential diagnosis among dermatologic disorders.


Many are sick, young, fair-skinned females. Journal List An Bras Dermatol v. Following the five week prednisone taper, she has been without any further eruptions to date. Important predisposing factors for cutaneous LE include:. The clinical criteria is met with the presence of erythematosus, thick plates with a smooth and edematous surface on sun-exposed areas that leave no scar after regression.

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. As previously described, 15 results of direct immunfluorescence in specimens from patients with LET have mostly been negative at the dermoepidermal junction or around the papillary and reticular dermal blood vessels. However, in our opinion, there is no doubt about LET being a separate entity that has been neglected in the literature since first being described in Chronic cutaneous lupus erythematosus CCLE has polymorphous presentations that may occasionally mimic other clinical conditions, causing diagnostic difficulties.

The aim of treatment for cutaneous LE is to prevent flares, improve appearance and to prevent scarring.

Open in a separate window. Antimalarials, Autoimmune diseases, Lupus erythematosus, cutaneous. Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. SLE may also affect joints, kidneys, lungs, heart, liver, brain, blood vessels vasculitis and blood cells.

Direct immunofluorescence examination of biopsy specimens from lesional skin was performed in 5 patients following a standard technique.

We describe a case of a year-old oupus with systemic lupus erythematosus SLE and secondary class V lupus nephritis. As previously described, 15 results of direct immunfluorescence staining of lesional skin specimens of LET have mostly been negative for immunoglobulin or complement components. Skin lesions are edematous, urticarialike annular papules and plaques. The primary and the experimentally UV-induced skin lesions demonstrated perivascular and periadnexal superficial and deep lymphocytic infiltration Tumidua 3.

Report of 40 Cases. Hypertrophic LE is a variant of discoid LE in which there are thickened and warty plaques resembling viral warts or skin cancers.


Cutaneous lupus erythematosus | DermNet NZ

Discussion LET is a photosensitive skin disease that is characterized by succulent, edematous, non-scarring plaques. A general stepwise approach to treatment can be partially extrapolated from Kuhn, et al’s, series of 40 patients from a progressively more systemic and toxic lineation; sunscreen sun exposure avoidancetopical steroid treatment, antimalarial therapy, followed by systemic steroids, and other immunosuppressants.

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. Photograph of face showing blanching inflamed plaques with raised borders and coalescing of lesions.

Tumid lupus erythematosus – Wikipedia

The most tumodus organ is the skin, which may be involved in isolation or accompanied by systemic manifestations. Skin biopsy may be diagnostic, showing a lichenoid tissue reaction and features specific to the kind of cutaneous LE.

In summary, LET presents a rare, but distinct, subset of CCLE with characteristic clinical features requiring correlation with histological, photobiological, and laboratory findings, since, taken in isolation, other diagnoses can be indicated.

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 tumiidus — such as panniculitis, vasculitis and tumid lesions.

Lupus Erythematosus Tumidus: A Unique Disease Entity

Create a free personal account to access your subscriptions, sign up for alerts, and more. In our patient, despite already being treated with hydroxychloroquine sulfate, mycophenolate mofetil, and yumidus for SLE and lupus nephritis, she developed lesions of LET. Collagen fibers were separated by mucin accumulation, which was confirmed by colloidal iron staining Figure 4. Treatment There are few evidence-based pharmacologic treatments for LET beyond case reports and series.

Table 1 Histologic features of the major clinical variants of lupus erythematosus involving the skin.

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