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Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy

Lupus panniculitis (LP) often presents with tender nodules and intermittent ulcers that then heal with scarring and lipoatrophy. The current mainstay of treatment is medical treatment. Research regarding the treatment of lipoatrophy from LP with autologous fat grafting is limited. We would like to s...

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Autores principales: Kongkunnavat, Natthapong, Prathyajuta, Jirapat, Tonaree, Warangkana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340191/
https://www.ncbi.nlm.nih.gov/pubmed/35919548
http://dx.doi.org/10.1055/s-0042-1751024
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author Kongkunnavat, Natthapong
Prathyajuta, Jirapat
Tonaree, Warangkana
author_facet Kongkunnavat, Natthapong
Prathyajuta, Jirapat
Tonaree, Warangkana
author_sort Kongkunnavat, Natthapong
collection PubMed
description Lupus panniculitis (LP) often presents with tender nodules and intermittent ulcers that then heal with scarring and lipoatrophy. The current mainstay of treatment is medical treatment. Research regarding the treatment of lipoatrophy from LP with autologous fat grafting is limited. We would like to share our experience in this rare case, which was treated with autologous fat transfer. A 48-year-old female presented with erythematous plaque, tender nodules, and ulcers following by a depression of the lesion at the left temporal area. The patient also had indurated erythematous plaque at her left cheek. Both lesions were aggravated by sunlight exposure. After several investigations, she was diagnosed as LP with secondary lipoatrophy and tumid lupus erythematosus at her left temporal and left cheek, respectively. She received antimalarial drug and topical steroids. The patient underwent two sessions of autologous fat transfer. She was satisfied with the volume and contour improvement in the scar following the injection of 8 and 3.7 mL of fat. Furthermore, the patient reported the remission of tender nodules and ulcers since the first fat graft injection. In conclusion, the autologous fat transfer is a simple and effective treatment for lipoatrophy and scar secondary to LP with promising results.
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spelling pubmed-93401912022-08-01 Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy Kongkunnavat, Natthapong Prathyajuta, Jirapat Tonaree, Warangkana Arch Plast Surg Lupus panniculitis (LP) often presents with tender nodules and intermittent ulcers that then heal with scarring and lipoatrophy. The current mainstay of treatment is medical treatment. Research regarding the treatment of lipoatrophy from LP with autologous fat grafting is limited. We would like to share our experience in this rare case, which was treated with autologous fat transfer. A 48-year-old female presented with erythematous plaque, tender nodules, and ulcers following by a depression of the lesion at the left temporal area. The patient also had indurated erythematous plaque at her left cheek. Both lesions were aggravated by sunlight exposure. After several investigations, she was diagnosed as LP with secondary lipoatrophy and tumid lupus erythematosus at her left temporal and left cheek, respectively. She received antimalarial drug and topical steroids. The patient underwent two sessions of autologous fat transfer. She was satisfied with the volume and contour improvement in the scar following the injection of 8 and 3.7 mL of fat. Furthermore, the patient reported the remission of tender nodules and ulcers since the first fat graft injection. In conclusion, the autologous fat transfer is a simple and effective treatment for lipoatrophy and scar secondary to LP with promising results. Thieme Medical Publishers, Inc. 2022-07-30 /pmc/articles/PMC9340191/ /pubmed/35919548 http://dx.doi.org/10.1055/s-0042-1751024 Text en The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Kongkunnavat, Natthapong
Prathyajuta, Jirapat
Tonaree, Warangkana
Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy
title Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy
title_full Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy
title_fullStr Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy
title_full_unstemmed Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy
title_short Autologous Fat Transfer in Lupus Panniculitis Facial Lipoatrophy
title_sort autologous fat transfer in lupus panniculitis facial lipoatrophy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340191/
https://www.ncbi.nlm.nih.gov/pubmed/35919548
http://dx.doi.org/10.1055/s-0042-1751024
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