Thursday, October 13, 2011

Lupus Erythematosus?

presented by Henry Foong:

A case in progress... 14 year-old Malaysian boy with photosensitive eruption

HPI:The patient is a 14 year old student with one year history of erythematous patches on the face, made worse with sun exposure. He is otherwise healthy with no systemic complaints. He has been on no medications byh mouth.

Examination showed few discrete 2-4 cm erythematous plaques on the cheeks, nose, upper and lower eyelids. No alopecia. No scarring.

I Suspect this is lupus erythematous. Acute LE or Subacute LE ? ANA serology and biopsy done. Results pending. Differentials - Jessner's lymphocytic infiltrates

Questions: What are your thoughts pending the biopsy findings? Would you do anything different from what I have done so far?


  1. H: Pending the bx and ANA, I would favor some form of lymphocytic infiltrate or granuloma faciale. The lesions are so discrete -- but you have done the tests and they should be definitive. Pls. send some follow-up when available.

  2. The lesions without conspicuous epidermal involvment are indeed suggestive of some form of subcutaneous lupus erythematosus (lymphocytic infiltration, l.e. tumidus). Main differential diagnosis is facial granuloma.
    Friedrich A Bahmer

  3. Hi,

    We had a nearly identical case here in India. Tell me are the lesions flat or minimally raised?

  4. AnonymousMay 05, 2012

    Hi again,

    I am very interested in the follow up of this case. What diagnosis was made finally?


    Dr Nair


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