Generalized facial pigmentation: An uncommon presentation of cutaneous lupus erythematosus

{Figure 1}{Figure 2}{Figure 3}{Figure 4}{Table 1} In all cases, drug-induced skin pigmentation was ruled out and epicutaneous patch tests were performed with GEIDAC's (Spanish Research Group on Contact Dermatitis and Cutaneous Allergy) standard battery which showed negative results. Histologica...

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Published in:Indian journal of dermatology, venereology, and leprology venereology, and leprology, 2020-07, Vol.86 (4), p.431-435
Main Authors: Calleja Algarra, Alba, Aragón Miguel, Raquel, Prieto Barrios, Marta, Llamas Martín, Rafael, Zarco Olivo, Carlos, Haro Ramos, Maria Del, Rodríguez Peralto, Jose, Ortiz Romero, Pablo, Llorente, Concepcion
Format: Article
Language:English
Subjects:
Adult
Aged
Biopsy
Dermatitis
Drug dosages
Epidemics
Face
Facial Dermatoses - etiology
Female
Humans
Hyperpigmentation - etiology
Immunoglobulins
Lupus
Lupus erythematosus
Lupus Erythematosus, Cutaneous - complications
Lupus Erythematosus, Cutaneous - diagnosis
Lupus Erythematosus, Cutaneous - pathology
Male
Middle Aged
Patients
Pigments
Skin
Systemic diseases
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Summary:{Figure 1}{Figure 2}{Figure 3}{Figure 4}{Table 1} In all cases, drug-induced skin pigmentation was ruled out and epicutaneous patch tests were performed with GEIDAC's (Spanish Research Group on Contact Dermatitis and Cutaneous Allergy) standard battery which showed negative results. Histological examination was carried out in all cases and it revealed interface dermatitis with vacuolar degeneration of the basal cells, a dense lympho-mononuclear perivascular and perifollicular infiltrate with abundant melanophages in the papillary and high reticular dermis. [...]when we come across a patient with generalized facial pigmentation, pigmented lupus erythematosus should always be consdered and histological evaluation should be done to confirm this diagnosis.
ISSN:0378-6323
0973-3922
1998-3611
DOI:10.4103/ijdvl.IJDVL_603_18