Lichen planus and coexisting lupus erythematosus versus lichen planus-like lupus erythematosus
| Autor: | Harold Plotnick, Thomas K. Burnham |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
medicine.medical_specialty
Pathology Lupus erythematosus integumentary system medicine.diagnostic_test Anti-nuclear antibody business.industry Dermatology medicine.disease Connective tissue disease stomatognathic diseases medicine.anatomical_structure stomatognathic system Dermis immune system diseases Immunopathology Biopsy medicine skin and connective tissue diseases business Direct fluorescent antibody Hyaline |
| Zdroj: | Journal of the American Academy of Dermatology. 14:931-938 |
| ISSN: | 0190-9622 |
| DOI: | 10.1016/s0190-9622(86)70115-1 |
| Popis: | A middle-aged black woman presented initially with painful cutaneous plaques that were located at various sites and that were diagnosed histologically as lichen planus. Standard light microscopic examination showed histopathologic variants of lichen planus. Direct immunofluorescence of a skin lesion had negative results for any of the lupus erythematosus bands but did reveal hyaline bodies in the deep cellular layer of the epidermis and the superficial layer of the dermis. These findings were compatible with either lichen planus or lupus erythematosus. However, both the clinical course of the eruption and the antinuclear antibody tests showed that the immunofluorescent antinuclear antibody pattern of large, speckle-like threads were consistent with lupus erythematosus. Furthermore, the large, speckle-like, thready antinuclear antibody pattern, which has been shown to be a marker for a benign subset of lupus erythematosus, is not seen in lichen planus. Lichen planus-like lupus erythematosus was therefore the more likely diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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