Lúpus discóide em pálpebras: relato de caso / Discoid lupus on the eyelids: case report
Arq. bras. oftalmol
; 72(4): 549-551, July-Aug. 2009. ilus
Article
in Portuguese
| LILACS
| ID: lil-528026
Responsible library:
BR1.1
RESUMO
O lúpus discóide caracteriza-se por lesões limitadas à pele, eritematosas e recobertas por escamas brancas aderentes, que aparecem mais nas áreas expostas ao sol. Relatamos um caso de uma paciente feminina de 26 anos, com ardência e hiperemia dos olhos há meses, em tratamento de blefarite sem melhora. Apresentava ao exame lesões palpebrais ulceradas, que através do exame de imunofluorescência direta foram diagnosticadas como lúpus discóide. Diante de lesões palpebrais crônicas refratárias a tratamento clínico, mesmo na ausência de alterações nos exames complementares, deve-se realizar a biópsia incisional para elucidação do caso, e se necessário, o exame de imunofluorescência direta.
ABSTRACT
Discoid lupus is characterized by erythematosus lesions limited to the skin, covered by adherent white scales, which rise at places more exposed to the sun. A case of a 26 year-old woman, who was suffering for months from redness and burning of the eyes, and was been treated for blepharitis without resolution is reported. On the eyelids exam, ulcerated lesions were found, that were diagnosed as discoid lupus by immunofluorescence. When faced with chronic lesions on the eyelids that do not respond to medical treatment, even if the ancillary exams are normal, the incisional biopsy must be performed to elucidate the diagnosis and, if necessary, immunofluorescence should be done as well.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Lupus Erythematosus, Discoid
/
Eyelid Diseases
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
Language:
Portuguese
Journal:
Arq. bras. oftalmol
Journal subject:
Ophthalmology
Year:
2009
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Universitário Evangélico de Curitiba/BR
/
Hospital de Olhos do Paraná/BR