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Discoid lupus erythematosus presenting as asymmetric posterior blepharitis
1Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT 06520-8061, USA. peter.gloor@yale.edu
Purpose:
To describe the ophthalmic findings of patients with discoid lupus erythematosus.
Method:
We describe two women who originally were thought to have asymmetric posterior blepharitis; however, the involved eyelid also had an erythematous, scaly cutaneous lesion.
Result:
In both patients, histology and immunofluorescence studies performed on cutaneous biopsy specimens established the diagnosis of discoid lupus erythematosus.
Conclusions:
It is important to diagnose discoid lupus of the eyelids because misdiagnosis can delay treatment and thus lead to deformities of the eyelid margin. Misdiagnosis can also lead to a complicated full-thickness eyelid biopsy and delay the diagnosis of systemic lupus erythematosus.