Related Experiment Video
Updated: Jun 19, 2026
05:39
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
[Discoid lupus on the eyelids: case report]
Rodrigo Beraldi Kormann1, Emanoelle Cunha, Alexandre Telli da Silva
1Serviço de Oculoplástica, Departamento de Oftalmologia, Hospital Universitário Evangélico de Curitiba, Curitiba, Brazil. robk@bk.brtdata.com.br
Arquivos Brasileiros De Oftalmologia
|October 13, 2009
Summary
Discoid lupus erythematosus can affect eyelids, presenting as chronic lesions. Early diagnosis via biopsy and immunofluorescence is crucial for effective treatment.
Area of Science:
- Dermatology
- Ophthalmology
Background:
- Discoid lupus erythematosus (DLE) typically presents with skin lesions, often exacerbated by sun exposure.
- Ocular involvement in DLE, particularly on the eyelids, is less common but can mimic other conditions like blepharitis.
Observation:
- A case report details a 26-year-old woman with persistent eye redness and burning, initially treated unsuccessfully for blepharitis.
- Examination revealed ulcerated eyelid lesions, prompting further investigation.
Findings:
- Immunofluorescence confirmed discoid lupus erythematosus as the cause of the chronic eyelid lesions.
- The diagnosis was established despite initial normal ancillary test results.
Implications:
- Chronic, treatment-resistant eyelid lesions warrant consideration of discoid lupus erythematosus.
- Incisional biopsy and immunofluorescence are essential diagnostic tools for suspected DLE of the eyelids, even with initially normal tests.
