Dermoscopic features of acute cutaneous lupus erythematosus
Source- Behera B, Palit A, Sethy M, Nayak AK, Dash S, Ayyanar P. Dermoscopic features of acute cutaneous lupus erythematosus: A retrospective analysis from a tertiary care centre of East India. Australas J Dermatol. 2021 Aug;62(3):364-369. doi: 10.1111/ajd.13620. Epub 2021 May 25. PMID: 34033122.
Dermoscopic features of acute cutaneous lupus erythematosus
Acute cutaneous lupus erythematosus (ACLE) is a common clinical manifestation of active systemic lupus erythematosus (SLE). It can be localised or generalised. The localised form can be confused with rosacea, changes from chronic topical steroid use, demodicosis and seborrhoeic dermatitis. Similarly, generalised ACLE can be mistaken for atopic dermatitis, contact dermatitis, maculopapular drug rash, viral exanthem and rarely dermatomyositis. Dermoscopy can be a helpful tool to differentiate ACLE from other diseases. Recently the dermoscopic features of ACLE were reported in the Australasian Journal of Dermatology.
It was a retrospective study conducted at a tertiary care center of eastern India. All biopsy and direct immunofluorescence confirmed ACLE cases between May 2019 and May 2020 were included. The clinical and demographic data of the patients were retrieved from departmental database. Dermoscopic analysis was performed separately for localised and generalised ACLE.
A total of 21 patients (18 females and three males, aged range 4–52 years, with skin phototypes III, IV or V) were included in the analysis. Of the 21 patients, 17 had generalised ACLE and 9 had localised ACLE. The patients either had cutaneous lesions for the first time or had an exacerbation of the disease on presentation.
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