Rare Coexistence of Lupus Erythematosus Tumidus With Systemic Lupus Erythematosus: A Case Report

Abstract

Lupus erythematosus tumidus (LET) is a rare form of cutaneous lupus erythematosus and the coexistence of LET with systemic lupus erythematosus (SLE) also being rare. We present a case of a 43-year-old lady who was recently diagnosed with SLE and concurrent presence of LET. She presented with a skin lesion over the right lateral nasal bridge, which then spread to the right cheek. She also complained of joint pain and hair thinning. Laboratory studies showed positive both antinuclear antibody (ANA) and anti-double stranded DNA (anti-dsDNA) with hypocomplementemia. The diagnosis of LET was confirmed via skin biopsy. She fulfilled the criteria of SLE classification and was started on daily doses of hydroxychloroquine and prednisolone combined with photoprotection.