Tumid lupus erythematosus


A rare, but distinctive entity in which patients present with edematous erythematous plaques, usually on the trunk.

A photosensitive skin disorder, a different subtype of cutaneous lupus erythematosus from discoid lupus erythematosus or subacute disease.

A variant of chronic cutaneous lupus.

More common in young women.

Typically the rash presents on the face, neck, chest, back, and extensor surfaces of the upper arms.

Presents as a rash with a photodistributed region of the face, V-neck, chest, back, and extensive surfaces of the upper arm.

Tumid lupus erythematosus is usually found on sun-exposed areas of the body.

Skin lesions are edematous, urticarialike annular papules plaques, and nodules.

Patients usually have photosensitivity but are otherwise asymptomatic.

Most patients have negative or normal serological tests for lupus and other autoimmune diseases.

The majority of patients do not have concurrent systemic diseases.

Histopathologically findings include increased dermal mucin and superficial and deep perivascular and periadnexal lymphocytic infiltrates.

Lesions are usually self-limiting with a good prognosis.

Topical corticosteroids are not effective as treatment.

Patients many will respond to hydroxychloroquine.

Resolves with normal skin, no residual scarring, no hyperpigmentation or hypopigmentation.

Cigarette smokers may not respond well to chloroquine.

Leave a Reply

Your email address will not be published. Required fields are marked *