Chronic Cutaneous Lupus Erythematosus Presenting as Atypical Acneiform and Comedonal Plaque: Case Report and Literature Review

    August 2017 in “ Lupus
    Marcelo L. Vieira, Everaldo R. Marques, Y L A Leda, Leandro Fonseca Noriega, Diego Leonardo Bet, Gilmayara Alves Abreu Maciel Pereira
    Studysummary This case report and literature review highlights an unusual acne-like presentation of chronic cutaneous lupus erythematosus that doesn't improve with standard acne treatments, emphasizing the importance of considering CCLE in atypical acneiform eruptions.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    This document described a case of chronic cutaneous lupus erythematosus (CCLE) presenting as atypical acneiform and comedonal lesions in a 32-year-old woman. The patient had been treated unsuccessfully for acne before a biopsy confirmed CCLE. Treatment with prednisone and chloroquine diphosphate led to significant improvement. A literature review identified nine other cases of acneiform lupus erythematosus, highlighting the rarity and diagnostic challenge of this presentation. The study emphasized the importance of considering CCLE in cases of treatment-resistant acneiform lesions, particularly when localized and itchy.
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