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A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man
Discoid lupus erythematosus (DLE)-associated edema and erythema on the lower eyelid as the only manifestation of the disease is a rare clinical entity. Persistent discoid lupus-related lower eyelid manifestations are challenging to diagnose, can be mistaken for blepharitis or malignancies, and often...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641256/ https://www.ncbi.nlm.nih.gov/pubmed/37965392 http://dx.doi.org/10.7759/cureus.47002 |
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author | Bachtalia, Konstantina Frangia-Tsivou, Konstantina Patelis, Andreas Palioura, Sotiria |
author_facet | Bachtalia, Konstantina Frangia-Tsivou, Konstantina Patelis, Andreas Palioura, Sotiria |
author_sort | Bachtalia, Konstantina |
collection | PubMed |
description | Discoid lupus erythematosus (DLE)-associated edema and erythema on the lower eyelid as the only manifestation of the disease is a rare clinical entity. Persistent discoid lupus-related lower eyelid manifestations are challenging to diagnose, can be mistaken for blepharitis or malignancies, and often require histopathological evaluation. If left untreated, the condition can progress, among others, to conjunctival scarring or symblepharon formation. Thus, early identification and management of the disease entity is of the utmost significance. We present a rare case of a young patient with enduring, unilateral lower eyelid edema and erythema that had been managed as blepharitis for several years. No other related cutaneous involvement was detected on the eyelids, face, or body. Following a lower eyelid biopsy and histopathological assessment, the patient was diagnosed with underlying DLE. This case report reviews the previous literature, discusses a differentiation strategy from other relevant pathologies, such as blepharitis and sebaceous cell carcinoma, and highlights the implemented diagnostic procedures. |
format | Online Article Text |
id | pubmed-10641256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106412562023-11-14 A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man Bachtalia, Konstantina Frangia-Tsivou, Konstantina Patelis, Andreas Palioura, Sotiria Cureus Ophthalmology Discoid lupus erythematosus (DLE)-associated edema and erythema on the lower eyelid as the only manifestation of the disease is a rare clinical entity. Persistent discoid lupus-related lower eyelid manifestations are challenging to diagnose, can be mistaken for blepharitis or malignancies, and often require histopathological evaluation. If left untreated, the condition can progress, among others, to conjunctival scarring or symblepharon formation. Thus, early identification and management of the disease entity is of the utmost significance. We present a rare case of a young patient with enduring, unilateral lower eyelid edema and erythema that had been managed as blepharitis for several years. No other related cutaneous involvement was detected on the eyelids, face, or body. Following a lower eyelid biopsy and histopathological assessment, the patient was diagnosed with underlying DLE. This case report reviews the previous literature, discusses a differentiation strategy from other relevant pathologies, such as blepharitis and sebaceous cell carcinoma, and highlights the implemented diagnostic procedures. Cureus 2023-10-13 /pmc/articles/PMC10641256/ /pubmed/37965392 http://dx.doi.org/10.7759/cureus.47002 Text en Copyright © 2023, Bachtalia et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Ophthalmology Bachtalia, Konstantina Frangia-Tsivou, Konstantina Patelis, Andreas Palioura, Sotiria A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man |
title | A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man |
title_full | A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man |
title_fullStr | A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man |
title_full_unstemmed | A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man |
title_short | A Rare Manifestation of Discoid Lupus Erythematosus Solely in the Lower Eyelid of a Young Man |
title_sort | rare manifestation of discoid lupus erythematosus solely in the lower eyelid of a young man |
topic | Ophthalmology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641256/ https://www.ncbi.nlm.nih.gov/pubmed/37965392 http://dx.doi.org/10.7759/cureus.47002 |
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