Tumid Lupus Erythematosus Presenting as Patchy Alopecia: A Discussion of Alopecia Associated With Lupus Erythematosus

    March 2023 in “ Cureus ”
    Mason R Henehan, Sydney Stillman, Hailey E Grubbs, Carlos Cohen
    Image of study
    TLDR A patient with patchy hair loss was successfully treated for Tumid Lupus Erythematosus after other treatments failed.
    The document discusses a case of Tumid Lupus Erythematosus (TLE), a subtype of chronic cutaneous lupus erythematosus, presenting as patchy alopecia. The 39-year-old male patient initially diagnosed with alopecia areata showed improvement with intralesional triamcinolone treatment but returned with recurring alopecia. A biopsy revealed a superficial and deep dermal perivascular and periadnexal lymphocytic infiltrate, leading to a diagnosis of TLE. The patient was treated with topical tacrolimus, oral hydroxychloroquine, and continued intralesional triamcinolone injections, resulting in hair regrowth. The document emphasizes the importance of considering TLE in the differential diagnosis for non-cicatricial alopecia, especially in patients resistant to first-line treatments for common causes of hair loss. It also highlights the need for an algorithmic approach to diagnosing alopecia, including a thorough physical examination, trichoscopic evaluation, and biopsy when necessary.
    Discuss this study in the Community →

    Research cited in this study

    4 / 4 results

    Related Community Posts Join

    6 / 7 results

      community Oral Finasteride 1.25mg - 9 Months

      in Update  52 upvotes 3 weeks ago
      The user has been taking oral finasteride 1.25mg daily for 9 months but is still experiencing hair recession. They plan to try topical minoxidil and consider oral minoxidil and dutasteride if needed.

      community 6 month progress on the big 3 - is this regrowth? Stabilized? 2.5 mg oral min, 1mg fin, keto, monthly dermarolling

      in Is this regrowth?  11 upvotes 1 year ago
      The user reports using 2.5 mg oral minoxidil, 1mg finasteride, ketoconazole, and monthly dermarolling for hair loss over six months, and is asking if there's hair regrowth or stabilization. Another person suggests increasing dermarolling frequency, possibly using more dutasteride, topical minoxidil, or a retinoid cream to improve minoxidil absorption.

      community 6 Months Into Dut Progress Pictures

      in Progress Pictures  102 upvotes 3 months ago
      Switching from finasteride to dutasteride caused significant shedding but minimal side effects. The user plans to continue dutasteride for 12 months despite concerns about hair density.

      community Where to Begin with Microneedling?

      in Treatment  17 upvotes 2 years ago
      User is considering microneedling to enhance hair regrowth after limited response to minoxidil and better results with finasteride and ketoconazole shampoo. Recommendations include using a 1.5mm derma roller once a week, avoiding minoxidil on microneedling days, and disinfecting the roller with isopropyl alcohol.

    Related Research

    6 / 6 results