Open AccessSeverely crusted cheilitis as an initial presentation of systemic lupus erythematosus
Author(s) -
Wai Man Mandy Chan,
Shiu Ming Pang,
See Ket Ng
Publication year - 2017
Publication title -
indian journal of dermatology/indian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.395
H-Index - 36
eISSN - 1998-3611
pISSN - 0019-5154
DOI - 10.4103/ijd.ijd_559_16
Subject(s) - medicine , dermatology , erythema multiforme , presentation (obstetrics) , cutaneous lupus erythematosus , lupus erythematosus , disease , erythema , pathology , surgery , immunology , antibody
Lupus erythematosus (LE) is an autoimmune disease which may initially present solely with lip lesions. Due to a wide spectrum of presentation, these features may initially be misdiagnosed as other oral diseases such as lichen planus, erythema multiforme (EM), and actinic cheilitis, leading to a delay in diagnosis and treatment. We discuss a case of severely crusted cheilitis which was initially diagnosed as EM, with subsequent development of subacute cutaneous LE, and progression to systemic LE. We will discuss the clinical and histological features of lupus cheilitis