Question
A patient suffering from a connective tissue disorder,presented with the following skin lesion over the face.What can be the most possible diagnosis?
| A. |
Systemic Lupus Erythematosus
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| B. |
Dermatomyositis
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| C. |
CREST Syndrome
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| D. |
Lichen Sclerosis
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Show Answer
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Correct Answer � A
Explanation
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|
Ans:A.)Systemic Lupus Erythematosus.
Image shows:
Erythema in the butterfly area, suggestive of systemic lupus erythematosus.
SYSTEMIC LUPUS ERYTHEMATOSUS
Presentation
- Typically, but not always, the onset is acute. SLE is an uncommon disorder, affecting women more often than men (in a ratio of about 8 : 1).
- The classic rash of acute SLE is an erythema of the cheeks and nose in the rough shape of a butterfly ,with facial swelling.
- Blisters occur rarely. Some patients develop widespread discoid or annular papulosquamous plaques very like those of discoid LE; others, about 20% of patients, have no skin disease at any stage.
- Other dermatological features include periungual telangiectasia ,erythema over the digits, hair fall (especially at the frontal margin of the scalp) and photosensitivity.
- Ulcers may occur on the palate, tongue or buccal mucosa.
Criteria for the diagnosis of Systemic Lupus Erythematosus(must have atleast 4):
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