On the issue of diagnosing cutaneous forms of lupus erythematosus
- 作者: Mikheeva E.1, Golubeva I.2, Zhukova O.1,2, Korsunskaya I.3
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隶属关系:
- Medical Institute of Patrice Lumumba Peoples' Friendship University of Russia
- Moscow Scientific and Practical Center for Dermatovenereology and Cosmetology of the Moscow Department of Health
- Center for Theoretical Problems of Physico-Chemical Pharmacology, Russian Academy of Sciences
- 期: 卷 35, 编号 8 (2024)
- 页面: 64-67
- 栏目: From Practice
- URL: https://journals.rcsi.science/0236-3054/article/view/263629
- DOI: https://doi.org/10.29296/25877305-2024-08-13
- ID: 263629
如何引用文章
详细
Cutaneous lupus erythematosus (CLE) is an autoimmune skin disease characterized by a variety of clinical manifestations and the possibility of progression to systemic lupus erythematosus.
Purpose. To study clinical and diagnostic features, as well as trigger factors of CLE to improve diagnosis, treatment and prevention of disease progression.
Material and methods. A retrospective analysis of the medical records of 60 patients with CLE who were treated at the Moscow Scientific and Practical Center for Dermatovenereology and Cosmetology of the Moscow City Health Department in 2017–2023 was carried out.
Results. Discoid lupus erythematosus was detected in 90% of patients. In 51.67% of cases, an incorrect diagnosis was made at the prehospital stage, which led to untimely initiation of therapy. The diagnosis of CLE was pathomorphologically confirmed in 60% of patients, of which in 38.33% the clinical and pathological diagnoses coincided. The most common skin lesions were observed on the face (75%), scalp (50%) and upper extremities (46.67%). The main trigger factors were insolation (18.33%) and psycho-emotional stress (13.33%).
Conclusion. The study highlights the need for dermatologists and rheumatologists to work together to more effectively diagnose and treat CLE. It was revealed that a significant number of cases of CLE were incorrectly diagnosed at the prehospital stage, which led to untimely initiation of therapy. Pathological examination plays a key role in confirming the diagnosis and correctness of therapeutic measures. An integrated approach to the diagnosis and treatment of patients with CLE can significantly improve the quality of medical care and reduce the risk of disease progression and complications.
作者简介
E. Mikheeva
Medical Institute of Patrice Lumumba Peoples' Friendship University of Russia
编辑信件的主要联系方式.
Email: marykor@bk.ru
ORCID iD: 0000-0001-8934-3197
俄罗斯联邦, Moscow
Iu. Golubeva
Moscow Scientific and Practical Center for Dermatovenereology and Cosmetology of the Moscow Department of Health
Email: marykor@bk.ru
ORCID iD: 0000-0003-2047-7925
俄罗斯联邦, Moscow
O. Zhukova
Medical Institute of Patrice Lumumba Peoples' Friendship University of Russia; Moscow Scientific and Practical Center for Dermatovenereology and Cosmetology of the Moscow Department of Health
Email: marykor@bk.ru
ORCID iD: 0000-0001-5723-6573
MD; Professor
俄罗斯联邦, Moscow; MoscowI. Korsunskaya
Center for Theoretical Problems of Physico-Chemical Pharmacology, Russian Academy of Sciences
Email: marykor@bk.ru
ORCID iD: 0000-0002-6583-0318
MD; Professor
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