Journal Information
Vol. 98. Issue 8.
Pages 549-552 (October 2007)
Vol. 98. Issue 8.
Pages 549-552 (October 2007)
Case reports
DOI: 10.1016/S1578-2190(07)70511-5
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Lupus Erythematosus Panniculitis Presenting as Palpebral Edema and Parotiditis
Edema Palpebral y Parotiditis Como Forma de Presentación de la Paniculitis Lúpica
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G. Pérez-Pastor
Corresponding author
gemma@aedv.es

Correspondence: Maestro Valls, 48, p. 24. 46022 Valencia. Spain.
, F. Valcuende, G. Tomás, M. Moreno
Sección de Dermatología, Hospital La Plana, Villarreal, Castellón, Spain
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Abstract

Lupus erythematosus panniculitis or lupus erythematosus profundus is characterized by inflammation of the deep dermis and subcutaneous tissue. It can occur in isolation or associated with chronic systemic or discoid lupus erythematosus. It usually consists of nodules and hardened subcutaneous plaques on the forehead, cheeks, proximal extremities, and buttocks. Periorbital and parotid involvement are rare and can lead to misdiagnosis. We present the case of a patient with lupus erythematosus panniculitis who presented with palpebral edema and involvement of the periocular fat and parotid gland.

Key words:
lupus erythematosus profundus
lupus panniculitis
palpebral
edema
parotid gland
Resumen

La paniculitis lúpica o lupus profundo se caracteriza por la afectación inflamatoria de la dermis profunda y el tejido celular subcutáneo. Puede aparecer de forma aislada o en el contexto de un lupus eritematoso sistémico o discoide crónico. Habitualmente consiste en nódulos y placas subcutáneas induradas localizadas en frente, mejillas, zona proximal de extremidades y nalgas. Otras localizaciones como la periorbitaria y parotídea son muy infrecuentes y pueden llevar a errores diagnósticos. Presentamos el caso de un paciente con paniculitis lúpica con afectación palpebral y de la grasa periocular y periparotídea.

Palabras clave:
lupus profundo
paniculitis lúpica
edema palpebral
parótida
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References
[1]
A.K. Izumi, P. Takiguchi.
Lupus erythematosus panniculitis.
Arch Dermatol, 119 (1983), pp. 61-64
[2]
T. Watanabe, T. Tsuchida.
Lupus erythematosus profundus: a cutaneous marker for a distinct clinical subset?.
Br J Dermatol, 134 (1996), pp. 123-125
[3]
D.R. Jordan, H. McDonald, B. Olberg, D. McKim, R. McKendry.
Orbital panniculitis as the initial manifestation of systemic lupus erythematosus.
Ophtalmic Plast Reconstr Surg, 9 (1993), pp. 71-75
[4]
K.L. Magee, S.R. Hymes, R.P. Rapini, J.W. Yeakley, R.E. Jordon.
Lupus erythematosus profundus with periorbital swelling and proptosis.
J Am Acad Dermatol, 24 (1991), pp. 288-290
[5]
T. Nowinski, V. Bernardino, M. Naidoff, R. Parrish.
Ocular involvement in lupus erythematosus profundus (panniculitis).
Ophthalmology, 89 (1982), pp. 1149-1154
[6]
W. White, E. Sherertz, D. Berg, R. Clark.
Periparotid lupus erythematosus panniculitis.
Arch Pathol Lab Med, 117 (1993), pp. 535-539
[7]
N. Ogura, A. Fujisaku, S. Jodo, K. Ichikawa, A. Tsutsumi, M. Mukai, et al.
Lupus erythematosus profundus around the salivary glands: a case resembling submandibular salivary gland disease.
Lupus, 6 (1997), pp. 477-479
[8]
M. Kaposi.
Pathologie und Therapie der Hautkrankheiten.
2nd ed., Urban & Schwarzenberg, (1883),
[9]
S. Irgang.
Lupus erythematosus profundus: report of an example with clinical resemblance to Darier-Roussy sarcoid.
Arch Dermatol Syph, 42 (1940), pp. 97-108
[10]
Y. Hidalgo, S. Gómez, J.A. Manjón, M. López-Escobar, C. Maldonado, T. Soler, et al.
Paniculitis lúpica en un niño con lupus discoide crónico.
Actas Dermosifiliogr, 95 (2004), pp. 622-625
[11]
P.B. Martens, K.G. Moder, I. Ahmed.
Lupus panniculitis: clinical perspectives from a case series.
J Rheumatol, 26 (1999), pp. 68-72
[12]
N.P. Sánchez, M.S. Peters, R.K. Winkelmann.
The histopathology of lupus erythematosus panniculitis.
J Am Acad Dermatol, 5 (1981), pp. 673-680
[13]
N.W. Holland, K. McKnight, V.R. Challa, C.A. Agudelo.
Lupus panniculitis (profundus) involving the breast: report of 2 cases and review of the literature.
J Rheumatol, 22 (1995), pp. 344-346
[14]
M. Inuzuka, K. Tomita, Y. Tokura, M. Takigawa.
Lupus erythematosus profundus with unusual skin manifestation: subcutaneous nodules coexisting with eyelid plaques.
J Dermatol, 28 (2001), pp. 437-441
[15]
W. Franke, A. Kuhn, M. Megahed, J. Krutmann, T. Ruzicka, P. Lehmann.
Periorbital edema as the initial symptom of lupus erythematosus profundus. Case report and discusión of the literature.
Hautarzt, 50 (1999), pp. 889-892
[16]
C. Massone, K. Kodama, W. Salmhofer, R. Abe, H. Shimizu, A. Parodi, et al.
Lupus erythematosus panniculitis (lupus profundus): clinical, histopathological, and molecular analysis of nine cases.
J Cutan Pathol, 32 (2005), pp. 396-404
[17]
P.P. Ng, S.H. Tan, T. Tan.
Lupus erythematosus panniculitis: a clinicopathologic study.
Int J Dermatol, 41 (2002), pp. 488-490
[18]
A. Taieb, J.P. Hehunstre, J. Goetz, J.E. Surlve Bazeille, D. Fizet, G. Hauptmann, et al.
Lupus erythematosus panniculitis with parcial genetic deficiency of C2 and C4 in a child.
Arch Dermatol, 122 (1986), pp. 576-582
[19]
H. Ujiie, T. Shimizu, M. Ito, K. Arita, H. Shimizu.
Lupus erythematosus profundus successfully treated with dapsone: review of the literature.
Arch Dermatol, 142 (2006), pp. 399-401
Copyright © 2007. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
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