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Type: Journal article
Title: Discoid lupus erythematosus presenting as madarosis
Author: Chen, C.
James, C.
Huilgol, S.
Selva-Nayagam, D.
Citation: American Journal of Ophthalmology, 2003; 136(3):545-546
Publisher: Elsevier Science Inc
Issue Date: 2003
ISSN: 0002-9394
Statement of
Dinesh Selva, Celia S. Chen, Craig L. James and Shyamala C. Huilgol
Abstract: PURPOSE:Discoid lupus erythematosus (DLE) is an autoimmune disorder that usually affects the sun-exposed skin. Periocular involvement occurs uncommonly and may progress from eyelid erythema to scarring and madarosis. METHODS:Observational case report. RESULT:A case of DLE that presented with madarosis alone in the absence of preceding skin erythema and scarring. CONCLUSION:Our case demonstrates that DLE may present with madarosis alone in the absence of a history of preceding erythema and scarring. Discoid lupus erythematosus should therefore be considered as a differential diagnosis in chronic blepharitis that persists despite usual medical management and eyelid hygiene. Biopsy should be considered in the presence of clinical features such as erythematous scale on the face and alopecia and sent for direct immunofluorescence staining.
Keywords: Eyelashes; Humans; Lupus Erythematosus, Discoid; Hair Diseases; Diagnosis, Differential; Middle Aged; Female
Description: Copyright © 2003 Elsevier Inc. All rights reserved.
RMID: 0020091814
DOI: 10.1016/S0002-9394(03)00231-9
Appears in Collections:Medicine publications

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