Bullous Lupus Erythematosus: A Rare Variant of Acute Cutaneous Lupus Erythematosus

Authors

  • Cut Putri Hazlianda Departmen of Dermatology and Venereology, Universitas Sumatera Utara
  • Calvina Theresia Department of Dermatology and Venereology, Faculty of Medicine Universitas Sumatera Utara, Medan, Indonesia.

Keywords:

bullous lupus erythematosus, rare variant, cutaneous lupus

Abstract

Abstract Acute cutaneous lupus erythematosus (ACLE) is a variant of acute autoimmune disease with distinctive cutaneous manifestations. In addition to its typical manifestations, it can also manifest as bullous lesion, which can be difficult to distinguish clinically from other dermatological disorders. We reported a 40-year-old lady who presented with painful vesicobullous eruptions on malar region since 1 week ago. Patient refused to be examined further and not compliance to the treatment given. She then consumed traditional medicine and admitted to the hospital 2 weeks later with extensive vesicobullous lesions in the face, scalp, trunk and extremities. Patient showed complete remission and excellent clinical response after corticosteroid treatment. This report showed the importance of early diagnosis as well as prompt treatment can result in a better prognosis.  

References

References

Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, McMichael AJ, Orringer JS. Fitzpatrick's Dermatology. Edisi ke-9. New York: McGraw-Hill. 2019.

Herzum A, Gasparini G, Cozzani E, Burlando M, Parodi A. Atypical and Rare Forms of Cutaneous Lupus Erythematosus: The Importance of the Diagnosis for the Best Management of Patients. Dermatology. 2021 Jun 3:1-10.

Chanprapaph K, Sawatwarakul S, Vachiramon V. A 12-year retrospective review of bullous systemic lupus erythematosus in cutaneous and systemic lupus erythematosus patients. Lupus. 2017 Oct;26(12):1278-1284.

Contestable JJ, Edhegard KD, Meyerle JH. Bullous systemic lupus erythematosus: a review and update to diagnosis and treatment. Am J Clin Dermatol. 2014 Dec;15(6):517-24.

Odonwodo A, Vashisht P. Bullous Systemic Lupus Erythematosus. 2021 May 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan.

Duan L, Chen L, Zhong S, Wang Y, Huang Y, He Y, Chen J, Shi G. Treatment of Bullous Systemic Lupus Erythematosus. J Immunol Res. 2015;2015:167064.

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Published

2023-10-12

How to Cite

1.
Hazlianda CP, Theresia C. Bullous Lupus Erythematosus: A Rare Variant of Acute Cutaneous Lupus Erythematosus. J Pak Assoc Dermatol [Internet]. 2023Oct.12 [cited 2024Dec.5];33(4):1713-6. Available from: https://jpad.com.pk/index.php/jpad/article/view/2379

Issue

Section

Case Reports