PMID- 10681606 OWN - NLM STAT- MEDLINE DCOM- 20000412 LR - 20171101 IS - 1018-8665 (Print) IS - 1018-8665 (Linking) VI - 200 IP - 1 DP - 2000 TI - Clinical, histological and immunopathological features of 58 patients with subacute cutaneous lupus erythematosus. A review by the Italian group of immunodermatology. PG - 6-10 AB - BACKGROUND: Subacute cutaneous lupus erythematosus (SCLE) is a distinct subset of cutaneous lupus erythematosus clinically characterized by psoriasiform and/or annular lesions and by a mild or absent systemic involvement. OBJECTIVE: The Italian Group of Immunodermatology of the Italian Society of Dermatology and Venereology reviewed the cases of SCLE seen in 10 years (1987-1996). PATIENTS: Forty-six women and 12 men have been retrospectively studied, 42% had annular lesions, 39% psoriasiform ones and 16% both. RESULTS: Lesions were mainly localized on the neck and face and relapsed in spring and autumn. Seventeen patients had 4 or more American College of Rheumatology criteria and could be classified as having systemic lupus erythematosus. The most frequent histopathological alterations were epidermal atrophy, hydropic degeneration of the basal layer and perivascular lymphocytic infiltrate. Deposits of immunoglobulins and C3 at the dermo-epidermal junction on the clinically involved skin were present in 86% of the patients. Dust-like particles in the epidermis were only found in 3% of cases. Anti-Ro/SSA antibodies were found in 71% of the cases and anti-dsDNA only in 5% of cases. CONCLUSIONS: SCLE is a particular subset of cutaneous lupus erythematosus with peculiar clinical and immunopathological features. CI - Copyright (R) 2000 S. Karger AG, Basel FAU - Parodi, A AU - Parodi A AD - Sezione di Dermatologia, Universita di Genova, DISEM, Genova, Italia. FAU - Caproni, M AU - Caproni M FAU - Cardinali, C AU - Cardinali C FAU - Bernacchi, E AU - Bernacchi E FAU - Fuligni, A AU - Fuligni A FAU - De Panfilis, G AU - De Panfilis G FAU - Zane, C AU - Zane C FAU - Papini, M AU - Papini M FAU - Veller, F C AU - Veller FC FAU - Vaccaro, M AU - Vaccaro M FAU - Fabbri, P AU - Fabbri P LA - eng PT - Journal Article PL - Switzerland TA - Dermatology JT - Dermatology (Basel, Switzerland) JID - 9203244 RN - 0 (Antibodies, Antinuclear) RN - 0 (Complement C3) RN - 0 (Complement C4) RN - 0 (Immunoglobulins) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Antinuclear/analysis MH - Child MH - Child, Preschool MH - Complement C3/analysis MH - Complement C4/analysis MH - Complement Hemolytic Activity Assay MH - Female MH - Fluorescent Antibody Technique, Direct MH - Humans MH - Immunoglobulins/analysis MH - Immunohistochemistry MH - Infant MH - Italy MH - Lupus Erythematosus, Cutaneous/immunology/metabolism/*pathology MH - Male MH - Middle Aged MH - Retrospective Studies MH - Skin/chemistry/immunology/*pathology EDAT- 2000/02/22 09:00 MHDA- 2000/04/15 09:00 CRDT- 2000/02/22 09:00 PHST- 2000/02/22 09:00 [pubmed] PHST- 2000/04/15 09:00 [medline] PHST- 2000/02/22 09:00 [entrez] AID - 18307 [pii] AID - 10.1159/000018307 [doi] PST - ppublish SO - Dermatology. 2000;200(1):6-10. doi: 10.1159/000018307.