Indian Journal of Dermatology
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E-IJD CASE REPORT
Year : 2017  |  Volume : 62  |  Issue : 4  |  Page : 440

Severely crusted cheilitis as an initial presentation of systemic lupus erythematosus


1 National Skin Centre, Department of Dermatology, Singapore
2 Singapore General Hospital, Singapore

Correspondence Address:
Wai Man Mandy Chan
National Skin Centre, 1 Mandalay Road, 308205
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijd.IJD_559_16

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Lupus erythematosus (LE) is an autoimmune disease which may initially present solely with lip lesions. Due to a wide spectrum of presentation, these features may initially be misdiagnosed as other oral diseases such as lichen planus, erythema multiforme (EM), and actinic cheilitis, leading to a delay in diagnosis and treatment. We discuss a case of severely crusted cheilitis which was initially diagnosed as EM, with subsequent development of subacute cutaneous LE, and progression to systemic LE. We will discuss the clinical and histological features of lupus cheilitis.


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