Lupus Erythematosus Affecting the Genitalia: An Unusual Site

Dahhouki Sara*, Jihane Ziani, Khadija Issoual, Zakia Douhi, Sara Elloudi, Hanane Baybay, Fatima Z. Mernissi, Elbaraka Yassine, Errarhay Sanae and Banani Abdelaziz

Lupus Erythematosus Affecting the Genitalia: An Unusual Site.

I n lupus erythematosus, involvement of the genital area is uncommon,
with few cases described in the literature.

We report a case of a 23-year-old woman, with history of lupus erythematosus,
who presented with a genital lesion during an acute flare of her disease.

Clinical examination found erythematous plaques diffusly on the face
and extremities and multiple alopecic plaques.

In addition to this typical finding, painless white erosive plaques, which were
bilateral and roughly symmetrical, were noted on both labia majora.

Typical discoid lupus erythematosus ulcers and plaques may occur in patients
with systemic lupus erythematosus or discoid lupus erythematosus. In our patient,
we had founded bilateral erosions.

Typically, these cutaneous lesions are asymptomatic.
That it was similar in our patient.

The treatment is the same as for other manifestations of lupus,
with a short corse of potent topical corticosteroids
combined with systemic hydroxychloroquine or chloroquine..

weeks and topical clobetasol for skin and genital lesions, plus hydroxychloroquine,
resulting in an improvement of her skin and genital lesions,
joint and nephritis disease as well.

A 23-year-old woman, with history of lupus erythematosus, treated
with hydroxychloroquine and external photoprotection, was admitted for
an acute flare of her disease, with joint and cutaneous manifestations.

Therefore, the diagnosis of a genital involvement of systemic lupus erythematosus
was retained. Treatment included intravenous methylprednisolone therapy at
the dose of 500-1000 mg over 1-hour once a day for 3-days followed by oral prednisolone 0.5-1 mg/kg/d for 4-weeks and topical clobetasol for skin and genital lesions, plus hydroxychloroquine (200 mg/j), resulting in an improvement of her skin and genital lesions, joint and nephritis disease as well

Dermatol Open J. 2020; 5(1): 26-27. doi: 10.17140/DRMTOJ-5-142

LATEST ARTICLES

 - 
Arabic
 - 
ar
Bengali
 - 
bn
German
 - 
de
English
 - 
en
French
 - 
fr
Hindi
 - 
hi
Indonesian
 - 
id
Portuguese
 - 
pt
Russian
 - 
ru
Spanish
 - 
es