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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
Lupus erythematosus gyratus repens
Burkhard Kreft1, Wolfgang Christian Marsch
1Department of Dermatology and Venereology, Martin-Luther-University Halle-Wittenberg, Department of Dermatology and Venereology, Ernst-Kromayer-Str. 5, D-06097 Halle (Saale), Germany. burkhard.kreft@medizin.uni-halle.de
European Journal of Dermatology : EJD
|February 28, 2007
Summary
Lupus erythematosus gyratus repens, a rare skin condition, presents as an annular variant of subacute cutaneous lupus erythematosus. Effective treatment involves glucocorticosteroids and antimalarials, with potential links to drug intake or malignancies.
Area of Science:
- Dermatology
- Rheumatology
Background:
- Lupus erythematosus gyratus repens (LEGR) is a rare dermatosis, historically described as chronic-recurrent figurate erythema.
- It is considered an annular variant of subacute cutaneous lupus erythematosus, with few documented cases.
Observation:
- A case report of a 74-year-old patient presenting with clinical and histological features consistent with LEGR.
- The patient exhibited annular, peripheral-emphasized skin lesions.
Findings:
- Systemic and topical glucocorticosteroids combined with antimalarials led to near-complete disease resolution within months.
- Histopathological examination confirmed LEGR, necessitating differentiation from other annular dermatoses.
Implications:
- LEGR may be associated with drug intake or internal malignancies, highlighting its potential as a paraneoplastic dermatosis.
- Early diagnosis and appropriate management are crucial, considering its rarity and potential systemic associations.
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