Linear Gingival Erythema Presenting in Systemic Lupus Erythematous

Area of Science:

• Rheumatology
• Dermatology
• Oral Medicine

Background:

• Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease affecting multiple organ systems.
• Cutaneous manifestations are common in SLE, but specific oral findings can aid diagnosis.
• Linear gingival erythema is an uncommon oral finding in SLE patients.

Purpose of the Study:

• To report a case of SLE presenting with a distinct pattern of linear gingival erythema.
• To highlight the diagnostic significance of specific oral findings in SLE.
• To document the therapeutic response to standard SLE treatment in this patient.

Main Methods:

• Clinical examination focusing on dermatological and oral findings.
• Diagnostic workup for SLE, including serological tests.
• Initiation of treatment with hydroxychloroquine, intravenous methylprednisolone, and topical clobetasol.

Main Results:

• The patient presented with a generalized rash and polyarthralgias.
• Linear gingival erythema was a unique finding on oral examination.
• Diagnosis of SLE was confirmed through laboratory testing.
• Rapid improvement in joint pain and oral ulcers was observed after treatment initiation.

Conclusions:

• Linear gingival erythema can be an indicative sign of SLE.
• Prompt diagnosis and multimodal treatment are crucial for managing SLE symptoms.
• This case underscores the importance of thorough oral examinations in SLE patients.