Discoid Lupus Erythematosus of the Scalp in a Patient with Systemic Lupus Erythematosus: A Case Report with Complete Hair Regrowth

ABSTRACT Scalp involvement with hair loss is common in systemic lupus erythematosus. Discoid lupus erythematosus may cause scarring alopecia, characterized by well-delimited erythematous plaques with scales, follicular hyperkeratosis and atrophy, which is considered a trichological emergency. Early diagnosis and treatment are necessary in order to prevent permanent hair loss. We describe a 44 years’ old female patient with systemic lupus erythematosus for 4 years, with multiple areas of occipitoparietal alopecia, erythematous plaques, atrophy, scales and some bloody crusts. Trichoscopy, histopathology and direct immunofluorescence led to the diagnosis of discoid lupus erythematosus. After 9 months treatment with thalidomide there was complete hair regrowth.

Bibliographic Details

Main Authors:	Garbelini-Lima,Cleide, Almeida,Gabriela Evangelista de, Gadelha,Sidharta Quercia, Souza,Andrea Cavalcante de, Souza,Mara Lúcia Gomes de, Figueiras,Virginia Vilasboas
Format:	Digital revista
Language:	English
Published:	Sociedade Portuguesa de Dermatologia e Venereologia 2021
Online Access:	http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-23952021000200051
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