Lupus erythematosus-specific bullous lesions

Dermatol Online J. 2023 Dec 15;29(6). doi: 10.5070/D329662997.

Abstract

Lupus erythematosus (LE)-specific bullous lesions are often difficult to distinguish from other bullous diseases presenting in patients with systemic lupus erythematosus. Herein, we describe a 49-year-old woman with systemic lupus erythematosus with recurrent tense bullae on the forearms. Clinical, histopathologic, and serologic findings led to the diagnosis of LE-specific bullous lesions. We also summarize the diagnostic clues for distinguishing LE-specific bullous lesions, bullous systemic lupus erythematosus, and erythema multiforme-like lesions in LE (Rowell syndrome).

Publication types

  • Case Reports

MeSH terms

  • Blister / diagnosis
  • Blister / etiology
  • Blister / pathology
  • Erythema Multiforme* / diagnosis
  • Erythema Multiforme* / pathology
  • Female
  • Humans
  • Lupus Erythematosus, Cutaneous* / diagnosis
  • Lupus Erythematosus, Cutaneous* / pathology
  • Lupus Erythematosus, Systemic* / complications
  • Lupus Erythematosus, Systemic* / diagnosis
  • Lupus Erythematosus, Systemic* / pathology
  • Middle Aged
  • Skin Diseases, Vesiculobullous* / diagnosis
  • Skin Diseases, Vesiculobullous* / pathology