Lupus Erythematosus Panniculitis Presenting as Palpebral Edema and Parotiditis

Pérez‐Pastor, Gemma; Valcuende, F.; Grus, Tomáš; Moreno, M.

doi:10.1016/s1578-2190(07)70511-5

Cited by 3 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To the best of our knowledge, there is no description of parotid gland involvement, and only a few reports of periparotid or parotid involvement, in the world literature. [1][2][3] In one case, the aspiration cytology, histopathology, and magnetic resonance imaging findings were consistent with chronic parotiditis.I In another report, two cases presented as apparent primary parotid parenchymal disease-one as a neoplasm and the other as parotiditis.i [anjua and colleagues described yet another case with extension of the lesions to the periparotidl parotid region; however, a histopathologic study of the parotid region was not undertaken. 3 It is imperative to recognize LEp of the parotid glands as it may masquerade as a parotid neoplasm, resulting in prolonged periods of inappropriate therapy, morbidity, and even an unwarranted parotidectomy.…”

Section: Discussionmentioning

confidence: 99%

Atypical Lupus Erythematosus Panniculitis Progressing to Antinuclear Antibody–Negative Systemic Lupus Erythematosus

et al. 2012

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Atypical Lupus Erythematosus Panniculitis Progressing to Antinuclear Antibody–Negative Systemic Lupus Erythematosus

et al. 2012

View full text Add to dashboard Cite

show abstract

“…These findings are more frequent when the lesions are associated with discoid lupus. 5 Ackermann et al 7 divided the histopathologic features of LEP in 3 stages (early, mature, and late). According to these and other authors, 6 the presence of lymphocytic nuclear dust within a patchy lymphoplasmacytic infiltrate in the lobules of the subcutaneous fat is a clue for the histopathologic diagnosis of LEP.…”

Section: Case Reportmentioning

confidence: 99%

CT Imaging of Head and Neck Lupus Panniculitis

Vattoth

Curé²

2008

AJNR Am J Neuroradiol

View full text Add to dashboard Cite

SUMMARY:Lupus panniculitis (LP) or lupus erythematosus profundus (LEP) is a lupus-associated dermatologic condition predominantly affecting young to middle-aged women in which the deep dermis and subcutaneous fat are mainly involved. The lesions are usually located on the forehead, cheeks, proximal aspect of the limbs, and buttocks, though cases have occasionally been reported with orbital, breast, and salivary gland involvement. Descriptions of imaging findings of LP are very scarce in the literature. We describe the CT scan imaging features of the case of a patient with head and neck LP. Lupus panniculitis (LP) is a very rare condition the imaging features of which are extremely scarce in the literature. We describe the CT scan imaging features of this rare disease entity in a patient. Case ReportA 28-year-old African American woman developed tender indurated lesions on the left arm and in the right face, extending from the parotid area around the angle of the jaw toward the chin. Two years previously, biopsy results of an indurated area on her face revealed no evidence of a neoplasm. She had been previously diagnosed with systemic lupus erythematosus (SLE) when she was found to have positive antinuclear antibody results in the context of a pregnancy ending in a stillbirth.Biopsy results of the lesion on her arm revealed panniculitis. It was recommended that she initiate treatment with steroids in combination with mycophenolate for lupus panniculitis. After 2 months, she experienced swelling of the bilateral neck. On physical examination, the lesion in the area of the right parotid was unchanged. There were new subcutaneous nodules in the neck bilaterally and in the submental area. The skin overlying these nodules was fixed to them. There was no palpable adenopathy.A contrast-enhanced CT scan of the neck demonstrated diffuse, superficial soft tissue infiltration of the right masticator space fat, extending into the fat overlying the anterior and lateral margins of the parotid gland. The lesion was both superficial and deep to the platysma muscle. There was extension into the posterior buccal space fat (Fig 1). The soft tissue infiltration lay superficial to both the masseter and temporalis muscles. The fat plane between the muscles was also ill defined. The right parotid duct was within the lesion (Fig 2). The process extended inferiorly into the right submandibular space, infiltrating the fat plane surrounding the right submandibular gland (Fig 3). The lesion produced an indrawing, cicatrizing effect rather than an outward bulge, which was illustrated on 3D surface-rendered images of the face (Fig 4). There was no adjacent osseous abnormality.There were mildly enlarged right intraparotid and level II lymph nodes and scattered bilateral shotty cervical lymph nodes, more prominent on the right side. The left parotid and submandibular salivary glands appeared normal. Extranodal lymphoid tissue in the Waldeyer ring and thyroid gland also appeared normal. Discussion LP is a rare skin condition, the clinical findin...

show abstract

Unilateral parotid mass as an unusual presentation of lupus erythematosus profundus

Jayaram¹,

Souza

Manisalı

2013

BMJ Case Reports

View full text Add to dashboard Cite

Unilateral parotid swelling or mass in the lupus erythematosus profundus person is a rare or under reported clinical scenario in existing literature. This is a case of a 49-year-old man with such presentation for whom medical management of the underlying condition led to the resolution of the swelling. Lupus erythematosus profundus must be considered as a differential diagnosis of unexplained parotid swelling to prevent incorrect diagnosis, unnecessary surgical intervention (eg, parotidectomy) and the morbidity that comes with it (eg, facial nerve weakness, Frey's syndrome etc).

show abstract

Lupus Erythematosus Panniculitis Presenting as Palpebral Edema and Parotiditis

Cited by 3 publications

References 17 publications

Atypical Lupus Erythematosus Panniculitis Progressing to Antinuclear Antibody–Negative Systemic Lupus Erythematosus

Atypical Lupus Erythematosus Panniculitis Progressing to Antinuclear Antibody–Negative Systemic Lupus Erythematosus

CT Imaging of Head and Neck Lupus Panniculitis

Unilateral parotid mass as an unusual presentation of lupus erythematosus profundus

Contact Info

Product

Resources

About