Bullous systemic lupus erythematosus (BSLE) is a rare cutaneous . Lúpus eritematoso sistêmico bolhoso – diagnóstico diferencial com dermatite herpetiforme. O lúpus eritematoso sistêmico pode apresentar inúmeras lesões cutâneas. As lesões bolhosas específi cas do lúpus, apesar de raras, apresentam. Systemic lupus erythematosus (SLE) can cause numerous skin lesions. Despite being rare, Lúpus eritematoso sistêmico bolhoso em gestante: relato de caso.

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Clinical and laboratory abnormalities in this patient confirmed the suspicion of BSLE.

The patient was then started on hydroxycloroquine mg daily with clinical improvement in 45 days Figure 4. PAS staining evidenced thickening of the lkpus membrane BM of the epidermis, more intense around the hair follicles Figure 2.

It has different clinical-pathological features. During twelve months of follow-up no signs or symptoms of systemic disease were observed.

Open in a separate window. A biopsy of the skin lesion was carried out, and the pathological findings included a subepidermal blister with neutrophilic microabscesses in the dermal papillae suggestive of dermatitis herpetiformis Figure 4.

Comedonic lupus: a rare presentation of discoid lupus erythematosus

The classic histological features of lupus erythematosus LEsuch as epidermal atrophy and hydropic degeneration of the basal cell layer, are absent in BSLE. Approved by the Advisory Board and accepted for publication on Colchicine for epidermolysis bullosa acquisita. Clinically, BSLE is characterized by a generalized vesiculobullous eruption, non-cicatricial, restricted to photo-exposed areas, or not.


Adjuvant therapies must also be used in cases that do not respond to or are intolerant of dapsone; the use of azathioprine, antimalarial agents, mycophenolate mofetil and cyclophosphamide has been reported in the literature. J Pak Med Assoc. Please review our privacy policy. Systemic lupus erythemato sus in patients diagnosed with treatment-resistant acne.

Bullous systemic lupus erythematosus in a year-old child

Find articles by Nelise Ritter Hans-Bittner. SLE with blisters is characterized by polycyclic lesions with blisters on the edges. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

The dermatologic examination showed lightly-colored violaceous, lups plaques of various sizes and atrophic scars on the right ear, dorsal aspect of the nose and chin.

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BSLE is a rare disease that has an incidence of less than 0. It interferes with the chemotaxis of neutrophils and the release of lysosomal enzyme by polymorphonuclear cells. Subepidermal blister filled with fibrin, lymphomononuclear and neutrophils. Patients may develop residual hyperpigmentation, and scars or milia may occasionally form.

On histology, a subepidermal blister with neutrophilic inflammatory infiltrate is seen. The main luus diagnoses of BSLE are acquired epidermolysis bullosa, dermatitis herpetiformis, bullous pemphigoid and linear IgA bullous dermatosis.


The commonest side effects are temporary diarrhea and abdominal discomfort. Laboratory tests revealed mild anemia Hb.: Histopathological examination of the sample from the cervical lymph node biopsy revealed reactive lymphoid hyperplasia. Favre-Racouchot disease, also known as ‘cutaneous nodular elastoidosis with cysts and comedones’ is characterized by volumous open, black comedones, located on the sun damaged skin of the elderly.

Tense bullae overlying an erythematous base on the right axilla. It is supposed that at least half of the patients with this condition have the tendency to develop systemic LE. Abstract Bullous systemic lupus erythematosus BSLE is a rare autoimmune subepidermal blistering disease, with few cases described bolhosk childhood.

Overview of common, rare and atypica manifestations of cutaneous lupus erythematosus and histopathological correlates. A phenotypically distinctive but immunologically heterogeneous bullous disorder. Echocardiogram showed a minimal increase in pericardial fluid and chest radiography showed a mild, bilateral pleural effusion.

J J Invest Dermatol. Anti-type VII collagen antibodies are not formed.