Lupus Erythematosus Panniculitis Presenting as Palpebral Edema and Parotiditis

Pérez-Pastor, G.; Valcuende, F.; Tomás, G.; Moreno, M.

doi:10.1016/S1578-2190(07)70511-5

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Abstract

Lupus erythematosus panniculitis or lupus erythematosus profundus is characterized by inflammation of the deep dermis and subcutaneous tissue. It can occur in isolation or associated with chronic systemic or discoid lupus erythematosus. It usually consists of nodules and hardened subcutaneous plaques on the forehead, cheeks, proximal extremities, and buttocks. Periorbital and parotid involvement are rare and can lead to misdiagnosis. We present the case of a patient with lupus erythematosus panniculitis who presented with palpebral edema and involvement of the periocular fat and parotid gland.

Key words:

lupus erythematosus profundus

lupus panniculitis

palpebral

edema

parotid gland

Resumen

La paniculitis lúpica o lupus profundo se caracteriza por la afectación inflamatoria de la dermis profunda y el tejido celular subcutáneo. Puede aparecer de forma aislada o en el contexto de un lupus eritematoso sistémico o discoide crónico. Habitualmente consiste en nódulos y placas subcutáneas induradas localizadas en frente, mejillas, zona proximal de extremidades y nalgas. Otras localizaciones como la periorbitaria y parotídea son muy infrecuentes y pueden llevar a errores diagnósticos. Presentamos el caso de un paciente con paniculitis lúpica con afectación palpebral y de la grasa periocular y periparotídea.

Palabras clave:

lupus profundo

paniculitis lúpica

edema palpebral

parótida

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