Abstract

INCHAUSTE CALLAURA, Beymar Arturo; AYALA BACINELLO, Silvana  and  MICHEL QUISPE, Brayan Gustavo. SUBACUTE PSORIASIFORM CUTANEOUS LUPUS ERYTHEMATOSUS. CASE REPORT. Rev Cient Cienc Méd [online]. 2022, vol.25, n.1, pp.63-67.  Epub Sep 31, 2022. ISSN 1817-7433.  https://doi.org/10.51581/rccm.v25i1.470.

Subacute systemic lupus erythematosus (SLE) represents 10% of all cases and is rare in its psoriasiform variety. We present the case of a 22-year-old female patient with a previous diagnosis of SLE and lupus nephropathy 2 years ago, who reported a clinical picture of +/- 2 months of evolution after the suspension of mycophenolate mofetil. Table characterized by the progressive appearance of discoid, crusty and scaly dermal lesions that involve approximately 80% of the body surface accompanied by foamy urine. Physical examination: bodily injuries respecting palms and soles, painful on acupressure. Capillary filling> 2 seconds. Laboratories: leukocytes 5930 and Granulocytes 90%. General urine test: infectious. This is subacute psoriasiform cutaneous SLE. The treatment was antibiotic, immunosuppressive and antihypertensive. Hospital discharge with mycophenolate and ciprofloxacin. Follow-up should be by medical personnel specialized in rheumatology, nephrology, and dermatology.

Keywords : Lupus Erythematosus; Systemic; Lupus Erythematosus Cutaneous; Rheumatology.

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