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Potekaev N.N.

Moscow Scientific and Practical Center of Dermatovenerology and Cosmetology, Moscow, Russia

Khamaganova I.V.

Russian State Medical University, Moscow

Novosel'tsev M.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr dermatovenerologii i kosmetologii Departamenta zdravookhraneniia

Chizevskaya S.A.

FGBOU VO «Rossijskij natsional'nyj issledovatel'skij universitet im. N.I. Pirogova», Moskva, Rossija, 117997

Disseminated lupus erythematosus in elderly patients

Authors:

Potekaev N.N., Khamaganova I.V., Novosel'tsev M.V., Chizevskaya S.A.

More about the authors

Journal: Russian Journal of Clinical Dermatology and Venereology. 2016;15(5): 21‑24

DOI: 10.17116/klinderma201615521-24

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Table of contents

DISSEMINATED LUPUS ERYTHEMATOSUS IN ELDERLY PATIENTS
DISSEMINATED LUPUS ERYTHEMATOSUS IN ELDERLY PATIENTS

To cite this article:

Potekaev NN, Khamaganova IV, Novosel'tsev MV, Chizevskaya SA. Disseminated lupus erythematosus in elderly patients. Russian Journal of Clinical Dermatology and Venereology. 2016;15(5):21‑24. (In Russ.)
https://doi.org/10.17116/klinderma201615521-24

 
Подписка 2025-2 (Russian Journal of Clinical Dermatology and Venereology)
 
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Various forms of lupus erythematosus can be observed in elderly patients. In 3—18% of cases, onset of the disease occurs in persons over 50 years. Photosensitivity and rash at the malar areas are less pronounced in elderly patients. Differential diagnosis is of high importance. Integument forms of lupus erythematosus should be differentiated from refractory solar erythema, rosacea, Senear-Usher syndrome, Darter’s sign, chondrodermatitis nodularis helicis, nodular syphilide, atrophic lichen planus, various lesions localized on the scalp, and Gammel’s disease. We report the case of disseminated lupus erythematosus in a 74-year-old patient. Clinical diagnosis was confirmed by histological examination and positive results of the test for IgG autoantibodies.

Keywords:

Disseminated lupus erythematosus
differential diagnosis

Authors:

Potekaev N.N.

Moscow Scientific and Practical Center of Dermatovenerology and Cosmetology, Moscow, Russia

Khamaganova I.V.

Russian State Medical University, Moscow

Novosel'tsev M.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr dermatovenerologii i kosmetologii Departamenta zdravookhraneniia

Chizevskaya S.A.

FGBOU VO «Rossijskij natsional'nyj issledovatel'skij universitet im. N.I. Pirogova», Moskva, Rossija, 117997

List of references:

  1. Arnaud L, Mathian A, Boddaert J, Amoura Z. Late-onset systemic lupus erythematosus: epidemiology, diagnosis and treatment. Drugs Aging. 2012; 29(3):181-189.
  2. Stefanidou S, Gerodimos C, Benos A, Galanopoulou V, Chatziyannis I, Kanakoudi F, Aslanidis S, Boura P, Sfetsios T, Settas L, Katsounaros M, Papadopoulou D, Giamalis P, Dombros N, Chatzistilianou M, Garyfallos A. Clinical expression and course in patients with late onset systemic lupus erythematosus. Hippokratia. 2013;17(2):153-156.
  3. Lalani S, Pope J, de Leon F, Peschken C.; Members of CaNIOS/1000 Faces of Lupus. Clinical features and prognosis of late-onset systemic lupus erythematosus: results from the 1000 faces of lupus study. J Rheumatol. 2010; 37(1):38-44.
  4. Pavlos P, Georgios T, Andreas K, Foteini R, Eustathios K, Emmanouil D. Discoid lupus and pulmonary blastoma in an elderly patient. Asian Cardiovasc Thorac Ann. 2014;22(4):494-496.
  5. Appenzeller S, Pereira DA, Costallat LT. Greater accrual damage in late-onset systemic lupus erythematosus: a long-term follow-up study. Lupus. 2008; 17(11):1023-1028.
  6. Tomic-Lucic A, Petrovic R, Radak-Perovic M, Milovanovic D, Milovanovic J, Zivanovic S, Pantovic S, Veselinovic M. Late-onset systemic lupus erythematosus: clinical features, course, and prognosis. Clin Rheumatol. 2013;32(7):1053-1058.
  7. Ito H, Nanamiya W, Kuroda N, Inoue M, Sasaoka A, Chijiwa T, Nishiya K, Hashimoto K, Nakagawa O. Chronic lupus peritonitis with massive ascites at elderly onset: case report and review of the literature. Intern Med. 2002; 41(11):1056-1061.
  8. Potekaev NN, Minkina OV, Vavilov VV, Bobrov MA. Systemic lupus erythematosus and discoid lupus erytematosus imitating different dermatoses. Case reports. Klin dermatol i venerol 2014,1: 81-85. (In Russ)
  9. Differential diagnosis in skin diseases (a guide for Physicians) Ed.by AA Studnitsin. M. 1983. (In Russ)
  10. Potekaev NN. Acne & rosacea. 2007. (In Russ)
  11. Khamaganova IV. Difficulties in the diagnosis of lupus erythematosus. Clinician 2006; 1: 64-68. (In Russ)
  12. 12.Gammel JA. Erythema gyratum repens:skin manifestations in patient with carcinoma of breast/AMA Arch Derm Syphilol.1952;66(4):494-505.
  13. Boyd AS, Neldner KH, Menter A. Erythema gyratum repens: a paraneoplastic eruption. J Am Acad Dermatol. 1992;26(5 Pt 1):757-762.
  14. Langlois JC, Shaw JM, Odland GF. Erythema gyratum repens unassociated with internal malignancy. J Am Acad Dermatol. 1985;12(5 Pt 2):911-913.
  15. Kawakami T, Saito R. Erythema gyratum repens unassociated with underlying malignancy. J Dermatol. 1995;22(8):587-589.

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