Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth

    Cleide Garbelini-Lima, Gabriela Evangelista de Almeida, Sidharta Quércia Gadelha, Andrea Cavalcante de Souza, Mara Lúcia Gomes de Souza, Virginia Vilasboas Figueiras
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    TLDR A patient with lupus experienced complete hair regrowth after treatment with thalidomide.
    The document presents a case of a 44-year-old female patient who had been suffering from systemic lupus erythematosus for 4 years and developed discoid lupus erythematosus, a condition that can cause scarring alopecia, a type of hair loss. The patient had multiple areas of hair loss on the scalp, along with erythematous plaques, atrophy, scales, and some bloody crusts. After a diagnosis through trichoscopy, histopathology, and direct immunofluorescence, the patient was treated with thalidomide for 9 months, which resulted in complete hair regrowth. The case emphasizes the importance of early diagnosis and treatment to prevent permanent hair loss in such conditions.
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