A Case of Discoid Lupus Erythematosus Masquerading as Acne

Lúpus comedônico: rara apresentação do lúpus eritematoso discoide

“…14 Other therapeutic options include oral hydroxycloroquine (400mg daily), topical tretinoin (0.025% cream), oral isotretinoin (1mg/kg/day), triamcinolone acetate (injected, 10mg/cc every 6 weeks), topical clobetasol (0.05% lotion twice a day) and mechanical extraction of the comedones. 1,3 The present case reinforces the importance of taking into consideration the various forms of presentation and the atypical behavior of discoid CLE, like the presence of acneiform lesions, accompanied by suggestive signs of CLE, that do not respond to conventional treatment to acne vulgaris. …”

“…The acneiform presentation of discoid CCLE is rare and only six cases have been reported so far. [1][2][3][4][5][6][7] this presentation is usually under diagnosed due to its similarity to inflammatory acne vulgaris. 1 The cases reported showed a predominance of women aged 25 to 35 and the symptoms that most commonly lead to the diagnosis were pruritus and photosensitivity.…”

A comedonal variant of chronic cutaneous lupus erythematosus: Case report and literature review

“…A review of the English-language literature finds only 8 previous cases (Table I). 2, 3, 4, 5, 6, 7, 8 An analysis of the reported cases in Table I is helpful in characterizing the distinctive features that define this apparently rare variant of CCLE. First, it predominates in young women (78% of reported cases occurred in women, 86% of whom were in their third or fourth decade of life).…”

Systemic lupus erythematosus camouflaging: As refractory acne in a young girl

“…[4] A case of DLE masquerading as acne vulgaris was also reported by Stavrakoglou et al . [5] Ocampo and Haider reported a 28-year-old woman who presented with an erythematous rash involving the nose, nasolabial folds, and philtrum that appeared after she had manipulated a painful vesicular lesion at the base of her nose that she believed to be a pimple. Later, after investigations it was diagnosed as DLE.…”