Abstract
Eighty-six patients with chronic cutaneous lupus erythematosus were examined. Twelve of these also suffered from systemic lupus erythematosus. The mean duration of the disease was 15.1 years. Fifty-seven percent of patients (49/86) had scarring of some kind producing destruction and deformity; 47% (41/86) had scarring of glabrous surfaces and 35% (30/86) had scarring alopecia; 35% (30/86) were also suffering from pigmentary disturbance. The details and treatment of these and other non-scarring sequelae are discussed.
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References
1.
Douglas-Smith C.
,
Cyr M.
The history of lupus erythematosus from Hippocrates to Osler . Rheum Dis Clin NAm
1988 ; 14 : 1 -14 .
2.
Sontheimer RD
,
Thomas JR
,
Gilliam JN
Subacute cutaneous lupus erythematosus: a cutaneous marker for a distinct lupus subset . Arch Dermatol
1979 ; 115 : 1409 -15 .
3.
Prystowsky SD
,
Herudon JH
Jr,
Gilliam JN
Chronic cutaneous lupus erythematosus (DLE): a clinical and laboratory investigation of 80 patients . Medicine
1975 ; 55 : 183 -91 .
4.
Callen JP
Chronic cutaneous lupus erythematosus . Arch Dermatol
1982 ; 118 : 412 -6 .
5.
Callen JP
Discoid lupus erythematosus—variants and clinical association . Clin Dermatol
1985 ; 3 (3 ): 49 -57 .
6.
O'Loughlin S.
,
Schroeter AL
,
Jordan RE
A study of lupus erythematosus with particular reference to generalised discoid lupus . Br J Dermatol
1978 ; 99 : 1 -11 .
7.
Burge SM
,
Frith PA
,
Juniper RP
et al. Mucosal involvement in systemic and chronic cutaneous lupus erythematosus . Br J Dermatol
1989 ; 121 : 727 -41 .
8.
Rowell NR
The management of lupus erythematosus, scleroderma, lichen sclerosus and dermatomyositis . Clin Exp Dermatol
1982 ; 7 : 407 -14 .
9.
Tuffanelli DL
Management of cutaneous lupus erythematosus . Clin Dermatol
1985 ; 3 (3 ): 123 -30 .
10.
Young E.
Melanosis caused by camoquin . Dermatologica ( Basel ) 1958 ; 116 : 389 .
11.
Wilson CL
,
de Berker D.
,
Burge S.
Atypical fibroxanthoma arising in DLE . (in press)
12.
Tuffanelli DL
Discoid lupus erythematosus . Clin Rheum Dis
1982 ; 8 : 327 -41 .
13.
Callen JP
Discoid lupus erythematosus-variants and clinical associations . Clin Dermatol
1963 ; 41 : 451 .
14.
Diaz-Jouanen E.
,
DeHoratius RJ
,
Alarcon-Segovia D.
et al. Systemic lupus erythematosus presenting as panniculitis (lupus profundus) . Ann Intern Med
1975 ; 82 : 376 .
15.
Winklemann RK
Panniculitis and systemic lupus erythematosus . JAMA
1970 ; 211 : 472 -81 .
16.
Tuffanelli DL
Lupus erythematosus panniculitis (profundus) . Arch Dermatol
1971 ; 103 : 231 -42 .
17.
Fountain RB
Lupus erythematosus profundus . Br J Dermatol
1968 ; 80 : 571 -9 .
18.
Lever WF
Histopathology of the Skin , 6 th edition. Philadelphia : Lippincott Company , 1983 : 447 .
19.
Gilchrest BA
,
Fitzpatrick TB
,
Anderson RR
et al. Localisation of melanin pigment in the skin with Wood's light . Br J Dermatol
1977 ; 96 : 245 -8 .
20.
Wander WG
Epitheliomas developing on lupus erythematosus . Arch Dermatol
1921 ; 3 : 22 -8 .
21.
Millard LG
,
Barker DJ
Development of squamous cell carcinoma in chronic discoid lupus erythematosus . Clin Exp Dermatol
1978 ; 3 : 161 -6 .
22.
Ronchese F.
Chronic discoid lupus erythematosus treated by plastic surgery. Chronica
Dermatologica
1971 ; 2 : 105 -6 .
23.
Ratner D.
,
Skouge JW
Discoid lupus erythematosus and dermabrasion: a case report and discussion . JAm Acad Dermatol
1990 ; 22 : 314 -7 .
24.
Kern AB
,
Schiff BL
Discoid erythematosus following trauma . Arch Dermatol
1957 ; 75 : 685 -8 .
25.
Roenigk HH
Dermabrasion for miscellaneous cutaneous lesions (exclusive of scarring from acne) . J Dermatol Surg Oncol
1977 ; 3 : 322 -8 .
26.
Dubin BJ
,
Kaplan EN
The surgical treatment of necrobiosis lipoidica . Plastic and Reconstructive Surgery
1977 ; 60 : 421 -7 .
27.
Kurwa AR
,
Evans AJ
Discoid lupus erythematosus treated by dermabrasion . Br J Dermatol
1979 ; 101 (Suppl. 17 ): 53 -4 .