Dr. Priyankar Pal*, Dr. Birendra Rai**, Dr. Amrit Jivan***
Assistant Professor,Institute of Child Health, Kolkata. *, PGT,Institute of Child Health, Kolkata. **, PGT,Institute of Child Health, Kolkata. ***
Lupus is a prerogative of rheumatologists but is also a domain of dermatologists. Of the eleven ACR 1997 criteria for classification of lupus, four are limited to skin - malar rash, discoid rash, photo sensitivity,
oral or nasal mucocutaneous ulcerations. SLE is easy to diagnose when the classical malar rash is present; which though highly suggestive is not-pathognomic. A variety of other lesions - maculopapular vasculitic rashes, petechiae, purpura, periungual erythema and gangrene, Raynaud's phenomenon, alopecia, nail infarcts, livedo reticularis, angiitic papules, chronic leg ulcers, bullous lesions - may be present either at onset or during the disease course.
Cutaneous lupus is a distinct clinical entity where systemic features may be absent. About 7-10% of discoid lupus may subsequently develop SLE.
Lupus panniculitis or lupus profundus, is a rare variety of cutaneous lupus that primarily affects subcutaneous fat. Diagnosis can be difficult as serology is often normal and needs histologic confirmation.
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