TLDR Tumid lupus erythematosus can cause non-scarring hair loss on the scalp and requires careful diagnosis.
This article presents a case of tumid lupus erythematosus (TLE) in a 45-year-old man, characterized by annular, non-scarring alopecia on the scalp. TLE is a rare form of cutaneous lupus that can be mistaken for other conditions like alopecia areata. The patient exhibited erythematous, edematous plaques without systemic symptoms, and a skin biopsy confirmed TLE through lymphocytic infiltrates and dermal mucin. Treatment with topical clobetasol led to rapid improvement. The case emphasizes the importance of considering TLE in differential diagnoses for scalp lesions and highlights the role of histopathological examination in accurate diagnosis and management.
A patient with patchy hair loss was successfully treated for Tumid Lupus Erythematosus after other treatments failed.
March 2021 in “Annals of Translational Medicine” Two patients with lupus had an unusual type of hair loss not typical for the disease.
148 citations
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December 2018 in “Journal of autoimmunity” Alopecia areata is an autoimmune disease causing patchy hair loss, often with other autoimmune disorders, but its exact causes are unknown.
4 citations
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November 2018 in “JAAD case reports” Alopecia areata can sometimes appear as a straight line of hair loss instead of round patches.
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110 citations
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December 2013 in “The journal of investigative dermatology. Symposium proceedings/The Journal of investigative dermatology symposium proceedings” Alopecia areata is a genetic and immune-related hair loss condition that is often associated with other autoimmune diseases and does not typically cause permanent damage to hair follicles.
