A Case of Bullous Systemic Lupus Erythematosus:Clustered Tense Bullae Localized on the Face.
10.5021/ad.1999.11.2.82
- Author:
Joon Hong PARK
;
Jung Youl LEE
;
Hee Dae JEON
;
Hye Jin LEE
;
Dae Sik HONG
;
Hee Sook PARK
;
Kyu Uang WHANG
- Publication Type:Case Report
- Keywords:
Bullous systemic lupus erythematosus
- MeSH:
Blister;
Dapsone;
Diagnosis;
Diagnosis, Differential;
Female;
Histiocytic Necrotizing Lymphadenitis;
Humans;
Lupus Erythematosus, Systemic;
Pancytopenia;
Skin;
Transcutaneous Electric Nerve Stimulation*;
Young Adult
- From:Annals of Dermatology
1999;11(2):82-85
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 21-year-old woman, who had a one-year history of pancytopenia with histiocytic necrotizing lymphadenitis and hepatosplenomegaly, presented with a 5 day history of tense bullae, which were localized on the face. These clusters of tense bullae occurred on clinically normal skin, she did not have other skin lesions. A diagnosis of bullous systemic lupus erythematosus (BSLE) was established based on clinical, laboratory, histological, and immunological findings. The bullae showed good responses to dapsone (100mg, daily) and resolved within 10 days with-out scaring. Bullous lesions of SLE may be the first cutaneous manifestation in some patients with SLE and should be considered in the differential diagnosis of the other subepidermal bullous disorders.
