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VIGNETTES
Tumid Lupus Erythematosus at the Site of a Scar
Gregory Perez, MD;
John P. Kowalczyk, BBA;
Dwayne Montie, DO;
Carlos H. Nousari, MD
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Report of Cases
Case 1
A 30-year-old white woman presented with persistent asymptomatic plaques at the site of a scar that started about 4 weeks after she had undergone revision lumbar spinal surgery. She reported having similar plaques in the same location after her first spinal surgery. The lesions persisted for a few months and topical corticosteroids were used with uncertain efficacy. She denied the use of other topical drugs at the surgical site or exposure to new systemic medications and has no personal or family history of connective tissue disease. On examination, she was found to have indurated, erythematous, nonscaly plaques on and adjacent to the surgical scar (Figure 1). Histologic examination revealed a dense superficial and deep dermal, perivascular, lymphocytic infiltrate associated with perifollicular and eccrine apparatus involvement; significantly increased mucopolysaccharide deposition throughout the dermis (Figure . . . [Full Text of this Article] Case 2
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Clinically Relevant Information About Cutaneous Lupus Erythematosus
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