A case of generalized discoid lupus erythematosus: Successful treatment with imiquimod cream 5%


GÜL Ü., GÖNÜL M., KÜLCÜ ÇAKMAK S., Kiliç A., DEMİRİZ M.

Advances in Therapy, cilt.23, sa.5, ss.787-792, 2006 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 5
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1007/bf02850319
  • Dergi Adı: Advances in Therapy
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.787-792
  • Anahtar Kelimeler: discoid lupus erythematosus, imiquimod
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Discoid lupus erythematosus (DLE) is the most common form of chronic cutaneous lupus erythematosus. Classic DLE lesions begin as red-purple macules, papules, or small plaques and rapidly develop a hyperkeratotic surface. Most patients with untreated classic DLE lesions suffer indolent progression to large areas of cutaneous dystrophy and scarring alopecia that can be psychosocially devastating. A 44-year-old male patient presented to the clinic with erythematous scaly patches that began on his nose 1 y before. His face was most affected, however, lesions were also noted on his scalp, ears, and limbs. Histopathologic examination verified a diagnosis of DLE. Laboratory examinations and consultations revealed no signs of systemic involvement. Imiquimod cream 5% was applied to the lesions once a day 3 times a week. After 20 applications, entire lesions regressed significantly. Imiquimod cream 5% may represent an alternative treatment method for patients with DLE. ©2006 Health Communications Inc.