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

June 2021 in “ Revista da Sociedade Portuguesa de Dermatologia e Venereologia ”

Cleide Garbelini-Lima, Gabriela Evangelista de Almeida, Sidharta Quércia Gadelha, Andrea Cavalcante de Souza, Mara Lúcia Gomes de Souza, Virginia Vilasboas Figueiras

discoid lupus erythematosus systemic lupus erythematosus scarring alopecia erythematous plaques trichoscopy histopathology direct immunofluorescence thalidomide

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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Research cited in this study

2 / 2 results

research Alopecias in Lupus Erythematosus

39 citations , October 2018 in “Lupus Science & Medicine”

Different types of hair loss in lupus need careful diagnosis for proper treatment.

research Hair and Scalp Changes in Cutaneous and Systemic Lupus Erythematosus

46 citations , June 2018 in “American Journal of Clinical Dermatology”

Hair loss is common in lupus patients and can be permanent or reversible, depending on the type, with various treatments available.

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