Chan Wai Man Mandy, Pang Shiu Ming, Ng See Ket
National Skin Centre, Department of Dermatology, Singapore.
Singapore General Hospital, Singapore.
Indian J Dermatol. 2017 Jul-Aug;62(4):440. doi: 10.4103/ijd.IJD_559_16.
Lupus erythematosus (LE) is an autoimmune disease which may initially present solely with lip lesions. Due to a wide spectrum of presentation, these features may initially be misdiagnosed as other oral diseases such as lichen planus, erythema multiforme (EM), and actinic cheilitis, leading to a delay in diagnosis and treatment. We discuss a case of severely crusted cheilitis which was initially diagnosed as EM, with subsequent development of subacute cutaneous LE, and progression to systemic LE. We will discuss the clinical and histological features of lupus cheilitis.
红斑狼疮（LE）是一种自身免疫性疾病，最初可能仅表现为唇部病变。由于其临床表现多样，这些特征最初可能被误诊为其他口腔疾病，如扁平苔藓、多形红斑（EM）和光化性唇炎，从而导致诊断和治疗延误。我们讨论一例严重结痂性唇炎病例，该病例最初被诊断为EM，随后发展为亚急性皮肤型LE，并进展为系统性LE。我们将讨论狼疮性唇炎的临床和组织学特征。
