Korean J Dermatol.  1986 Apr;24(2):296-299.

Unusual Cutaneous Manifestations of Connective Tissue Diseases III. Lupus Erythematosus Profundus Developed on the Discoid Cutaneous Lesions

• Lee CW
• Lee JT
• Kim JH

Abstract

A 56-year-old woman presenting a 10-year history of atrophic discoid patches with underlying subcutaneous nodules was seen. These skin lesions were distributed on the upper arms bilaterally. Biopsy specimens taken from the lesional skin showed epidermal and dermal changes consistent with the discoid lesions of the cutaneous lupus erythematosus. Deep dermis and subcutaneous fat tissue revealed sclerosis and fibrinoid alterations of the collagen and necrosis of fat cells, the features corresponding to the lupus ei ythematosus profundus. She had no laboratory evidences suspective of systemic lupus erythematosus or other connective tissue diseases. This patient with lupus erythernatosus profundus which cleveloped subsequent to the discoid lesion is consiclered to be a rarely encounteririg observation in lupus erythematosus.

Keyword

Lupus erythematosus profundus; Discoid lesion

MeSH Terms

Adipocytes
Arm
Biopsy
Collagen
Connective Tissue Diseases*
Connective Tissue*
Dermis
Female
Humans
Lupus Erythematosus, Cutaneous
Lupus Erythematosus, Systemic
Middle Aged
Necrosis
Panniculitis, Lupus Erythematosus*
Sclerosis
Skin
Subcutaneous Fat
Collagen