Dermoscopic Findings of Discoid Lupus Erythematosus Involving the Eyelids

Introduction

Although facial involvement in discoid lupus erythematosus (DLE) is common, eyelid involvement is atypical. Identifying this condition is challenging due to misdiagnosis, and it is essential to avoid potential deformities of the eyelid margin.

Case Presentation

We, herein, report the dermoscopic findings in 2 female patients with a confirmed diagnosis of DLE who presented eyelids involvement.

Discussion/Conclusion

This study highlights the importance of performing a dermoscopy examination to help physicians obtain an early diagnosis of DLE.

Discoid lupus erythematosus solely involving the eyelids: case report and literature review

BACKGROUND AND OBJECTIVE

The involvement of eyelids occurs in only 5-6% of patients with discoid lupus erythematosus (DLE), commonly with mucocutaneous lesions elsewhere. DLE solely involving the eyelids is relatively rare. This study aimed to describe the clinical features and treatments of all the reported cases of DLE with eyelid involvement as the only symptom.

METHODS

A systematic review was done of all the related literature published both in English and Chinese from May 1, 1984, to March 1, 2020. Only those cases of DLE solely involving eyelids were selected and summarized in two tables.

RESULTS

(i) DLE solely involving the eyelids is five times more likely to affect females than males. (ii) The majority of cases were presenting with unilateral eyelid involvement. Lower lids, especially both lower lids, were the most commonly affected locations. (iii) An erythematous plaque with scales is the most frequent manifestation. (iv) Approximately 22.9% of the cases had a positive antinuclear antibody (ANA) titer, and the speckled pattern was the most seen. For direct immunofluorescence (DIF), 94.4% of the performed cases showed positive results. (v) More than 85% of these cases showed an excellent response to treatment with oral antimalarials.

CONCLUSION

Awareness of this atypical presentation is important to avoid underdiagnosis of DLE solely involving the eyelids. A biopsy for both routine histology and DIF is critical for establishing the diagnosis.

The role of dermoscopy in diagnostics of dermatological conditions of the eyelid, eyelashes, and conjunctiva - a literature review

The role of dermoscopy in dermatology is constantly evolving. Relatively little is known about its application in diagnosis of dermatological conditions of the eyelid, eyelashes, and conjunctiva. The aim of the study is to summarize the existing knowledge in this field.