Abstract

GIULIODORI, MG  and  MAZA, JL Llaudet. Subacute Cutaneous Lupus Erythematosus.(Presentation of a clinical case). Rev. argent. dermatol. [online]. 2020, vol.101, n.3, pp.111-120. ISSN 1851-300X.

Lupus erythematosus (LE) is a multisystemic chronic autoimmune disease with diverse and complex clinical manifestations.

The initial symptoms are nonspecific. The skin is one of the most frequently affected sites. Its cutaneous manifestation can appear alone or associated with systemic symptoms.

The classification criteria for systemic lupus erythematosus (SLE) have been previously written on 3 occasions: in 1982, 1997 and 2012.

In this revision of 2019, the presence of ANA is taken as an entry criterion rather than as a classification criterion. In this way, the underlying pathogenesis was better reflected, and the characteristics of the ANA (high sensitivity and limited specificity) are taken into account. It was also thought to distribute the "importance" of each of the criteria used, so a "by weight" methodology was used. These criteria constitute a paradigm shift in the classification of the LES. They also have good sensitivity and specificity, improving the figures of the previous criteria.

Its treatment depends on the clinical manifestations and its approach must be multidisciplinary. Their survival has improved thanks to early diagnosis and treatment. However, his prognosis remains dire.

Keywords : lupus; acute lupus erythematosus; subacute lupus erythematosus.