Persistent Facial Oedema and Erythema in a Woman, An Uncommon Manifestation of Chronic Cutaneous Lupus Erythematosus
  • Mónica García-Arpa
    Department of Dermatology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
  • María Rodríguez-Vázquez
    Department of Dermatology, Hospital General Universitario de Albacte, Albacete, Spain
  • David Bellido-Pastrana
    Department of Internal Medicine, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
  • Natalia Villasanti-Rivas
    Department of Pathology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
  • Marcos Carmona-Rodríguez
    Department of Dermatology, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain

Keywords

Chronic cutaneous lupus erythematosus, erythema, oedema, face

Abstract

Manifestations of chronic cutaneous lupus erythematosus are variable. Periorbital and facial swelling occurs in dermatomyositis and systemic lupus, but it has been rarely reported as a manifestation of exclusively cutaneous lupus. A 48-year-old woman presented with a 16-year history of asymptomatic, bilateral swelling and erythema of her face with marked worsening after sun exposure. No systemic symptoms were associated. A complete evaluation did not reveal other findings. Cutaneous biopsy showed features of lupus erythematosus. She was treated with photoprotection, topical tacrolimus, hydroxychloroquine and azathioprine with a partial response. Facial swelling with erythema represents quite an unusual manifestation of chronic cutaneous lupus erythematosus. Dermatomyositis, systemic lupus and Morbihan disease are the main differential diagnoses.

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    Published: 2020-02-12
    Issue: 2020: Vol 7 No 3 (view)

    How to cite:
    1.
    García-Arpa M, Rodríguez-Vázquez M, Bellido-Pastrana D, Villasanti-Rivas N, Carmona-Rodríguez M. Persistent Facial Oedema and Erythema in a Woman, An Uncommon Manifestation of Chronic Cutaneous Lupus Erythematosus. EJCRIM 2020;7 doi:10.12890/2020_001462.