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Systemic lupus erythematosus presenting with red lunulae
V García-Patos1, R Bartralot, J Ordi
1Department of Dermatology, Hospital General Universitari Vall d'Hebron, Barcelona, Spain.
Journal of the American Academy of Dermatology
|May 1, 1997
Summary
Red lunulae, or red nail beds, can indicate various diseases. In a rare case, painful red lunulae preceded the diagnosis of systemic lupus erythematosus in a young patient.
Area of Science:
- Dermatology
- Rheumatology
- Systemic autoimmune diseases
Background:
- Red lunulae are nail changes associated with diverse cutaneous and systemic conditions.
- Early identification of systemic diseases is crucial for timely intervention.
Observation:
- A 13-year-old female presented with painful red lunulae of the fingernails.
- Beau's lines were observed, indicating inflammation of the nail matrix.
Findings:
- The patient subsequently developed systemic lupus erythematosus (SLE).
- Red lunulae were identified as a potential presenting sign of SLE.
- Treatment with oral prednisone led to significant improvement in nail abnormalities.
Implications:
- This case highlights red lunulae as a potential, previously unrecognized, early indicator of systemic lupus erythematosus.
- Nail changes may offer valuable diagnostic clues for systemic autoimmune diseases.
- Further research is warranted to explore the association between red lunulae and SLE.