AI Summary & Key Takeaways
AI InsightWe herein, report a 66-year-old male patient with diffuse blue-brown pigmentations on his face who was diagnosed as having melanotic lupus erythematosus based on the clinical, histopathological and immunofluoresence findings.
📌 3 Key Takeaways
Abstract
Discoid lupus erythematosus (DLE) is characterized by atrophic patches with peripheral hyperpigmentation on sun-exposed skin areas. It rarely presents with diffuse hyperpigmented patches without erythema, adherent scales and atrophy on the face and neck. This presentation is called melanotic lupus erythematosus and it has rarely been reported in the literature. Other conditions that cause facial pigmentation, such as melasma, Riehl melanosis, lichen planus pigmentosus, and drug-related pigmentation should be considered in the differential diagnosis. We herein, report a 66-year-old male patient with diffuse blue-brown pigmentations on his face who was diagnosed as having melanotic lupus erythematosus based on the clinical, histopathological and immunofluoresence findings.
Özet
Diskoid lupus eritematozus (DLE) sıklıkla güneş gören deri bölgelerinde ortaları atrofik kenarları hiperpigmente plaklar şeklinde görülür. Nadir olarak yüz ve boyunda eşlik eden eritem, yapışık skuam ya da atrofi olmadan diffüz hiperpigmente plaklar şeklinde ortaya çıkabilir. Bu durum melanotik lupus eritematozus olarak adlandırılır ve literatürde oldukça nadir bildirilmiştir. Bu durumun ayırıcı tanısında yüzde pigmentasyon yapan melazma, Riehl melanozu, liken planus pigmentozus, ilaca bağlı hiperpigmentasyon gibi diğer hastalıklar düşünülmelidir. Burada 66 yaşında tüm yüzde diffüz mavi-kahverengi hiperpigmentasyonu olan ve klinik, histopatolojik ve immünfloresan bulguları ile melanotik DLE olarak tanı alan bir erkek hasta sunulmuştur