PMID- 14571071 OWN - NLM STAT- MEDLINE DCOM- 20040226 LR - 20171101 IS - 1018-8665 (Print) IS - 1018-8665 (Linking) VI - 207 IP - 3 DP - 2003 TI - Poikilodermatous subacute cutaneous lupus erythematosus. PG - 285-90 AB - BACKGROUND: Subacute cutaneous lupus erythematosus (SCLE) is a distinct subset of lupus erythematosus with unique clinical, immunological and genetic features. Among the unusual variants of SCLE, there is a poikilodermic presentation. However, to date, only 1 case of poikilodermatous SCLE has been reported. OBJECTIVE: Our goal was to summarize the clinical characteristics and course as well as the pathological, laboratory and immunofluorescence findings of 4 patients with poikilodermatous SCLE. METHODS: A retrospective study was conducted including 54 patients diagnosed as having SCLE between 1980 and 2002. RESULTS: Four patients (7.4%) had SCLE. All patients were alive, and none developed severe systemic involvement in up to 36 years (median, 24 years) after the onset of disease. The most noteworthy laboratory finding was the cutaneous deposition of amyloid. CONCLUSION: Poikilodermatous SCLE represents an uncommon variant within the clinicopathological spectrum of SCLE following a favorable course, in spite of extensive cutaneous involvement. Photosensitivity is the pathomechanism explaining, theoretically, the development of both poikiloderma and cutaneous amyloidosis in such cases. CI - Copyright 2003 S. Karger AG, Basel FAU - Marzano, Angelo V AU - Marzano AV AD - Institute of Dermatological Sciences of the University of Milan and IRCCS Ospedale Maggiore of Milan, Milan, Italy. avmarzano@everyday.com FAU - Facchetti, Maura AU - Facchetti M FAU - Alessi, Elvio AU - Alessi E LA - eng PT - Journal Article PL - Switzerland TA - Dermatology JT - Dermatology (Basel, Switzerland) JID - 9203244 RN - 0 (Antimalarials) RN - 0 (Steroids) SB - IM CIN - Dermatology. 2003;207(3):243-5. PMID: 14571062 MH - Adult MH - Age Distribution MH - Aged MH - Antimalarials/therapeutic use MH - Biopsy, Needle MH - Drug Therapy, Combination MH - Female MH - Fluorescent Antibody Technique, Indirect MH - Follow-Up Studies MH - Humans MH - Immunohistochemistry MH - Incidence MH - Italy/epidemiology MH - Lupus Erythematosus, Cutaneous/drug therapy/epidemiology/*pathology MH - Male MH - Middle Aged MH - Retrospective Studies MH - Risk Assessment MH - Rothmund-Thomson Syndrome/drug therapy/epidemiology/*pathology MH - Severity of Illness Index MH - Sex Distribution MH - Steroids/therapeutic use MH - Treatment Outcome EDAT- 2003/10/23 05:00 MHDA- 2004/02/27 05:00 CRDT- 2003/10/23 05:00 PHST- 2002/12/06 00:00 [received] PHST- 2003/02/24 00:00 [accepted] PHST- 2003/10/23 05:00 [pubmed] PHST- 2004/02/27 05:00 [medline] PHST- 2003/10/23 05:00 [entrez] AID - 73091 [pii] AID - 10.1159/000073091 [doi] PST - ppublish SO - Dermatology. 2003;207(3):285-90. doi: 10.1159/000073091.