An Indonesian female with severe cutaneous lupus erythematosus: A case report and literature review

• Published in: International journal of surgery case reports 2023-06, Vol.107, p.108336, Article 108336
• Main Authors: Hadisuwarno, Wiharjo, Rahmawati, Lita Diah
• Format: Article
• Language: English
• Subjects: Autoimmune disease; Case Report; Cutaneous lupus erythematosus; Systemic lupus erythematosus
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108336

Cutaneous lupus erythematosus (CLE) is one of the most common symptoms in systemic lupus erythematosus (SLE) cases. SLE manifestations in the skin area seem to significantly affect the patient's quality of life, which is this condition for unmarried females. An Indonesian female, 23 years old, complained of skin peeling on her scalp, upper and lower extremities. The condition of the wound was severe in the head area. A biopsy was performed, revealing pustular psoriasis. She received immunosuppressant agent and wound care over the lesion. The patient showed good improvement after 2 weeks of this treatment. Diagnosis of CLE through history taking, skin examination and histopathological findings. Since immunosuppressant agent is the primary therapy of CLE, monitoring is required because immunosuppressive drugs increase the risks of infection. The outcome of CLE treatment is to minimize complications and improve the patient's quality of life. CLE primarily affects women, therefore early management, monitoring and collaboration with other departments will improve the patient's quality of life and increase their compliance with medication. •Management of CLE focuses on improving the patient's quality of life.•As a first line therapy of CLE, corticosteroids are given considering clinical condition.•Skin biopsy helps in the diagnosis of CLE.