PMID- 36090729 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220913 IS - 1642-395X (Print) IS - 2299-0046 (Electronic) IS - 1642-395X (Linking) VI - 39 IP - 4 DP - 2022 Aug TI - Clinicopathological characteristics of cutaneous lupus erythematosus patients in Bangladesh. PG - 782-787 LID - 10.5114/ada.2021.110254 [doi] AB - INTRODUCTION: Nearly all epidemiologic studies have involved patients with systemic lupus erythematosus (SLE). Few authors have investigated the characteristics of patients with cutaneous lupus erythematosus (CLE). AIM: To describe the clinical and pathologic characteristics of a series of patients diagnosed with CLE. MATERIAL AND METHODS: This is a descriptive retrospective cross-sectional study carried out using the consecutive registered records of 218 patients attending the 'Lupus Clinic' in Chittagong Medical College Hospital during the period between 2010 and 2020. The activity and damage of CLE were assessed according to the Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI). RESULTS: There were 187 (85.8%) females and 31 (14.2%) males, with the female:male ratio being 6 : 1. The mean age was 30.0 +/-11.7 years. The chronic cutaneous lupus erythematosus (CCLE) patients numbered 154 (70.6%), followed by acute cutaneous lupus erythematosus (ACLE) n = 46 (21.1%), and subacute cutaneous lupus erythematosus (SCLE) n = 18 (8.3%). In LE-specific skin lesions, the most common manifestation was photosensitivity, 198 (90.8%), followed by discoid rash, 155 (71.1%) and maculo-papular lupus rash, 55 (25.2%). Among LE-nonspecific skin lesions, the most common manifestation was non-scarring alopecia, 123 (56.4%), followed by livedo reticularis, 18 (8.3%), Raynaud's phenomenon, 17 (7.8%), vasculitis, 15 (6.9%), periungual telangiectasia, 7 (3.2%), erythema multiforme, 6 (2.7%) and leg ulcers, 5 (2.3%). Antinuclear antibodies (ANA) were the most common type of autoantibody (n = 132, 60.5%) followed by anti-ds DNA (n = 91, 41.7%) and anti-phospholipid antibodies (n = 9, 4.1%). CONCLUSIONS: CCLE was the most common subtypes of CLE. Photosensitivity was the most common clinical manifestation, whereas ANA were the most frequent autoantibodies of the LE patients of this region. Patients with different subtypes of CLE have distinct clinical and pathological characteristics. CI - Copyright: (c) 2022 Termedia Sp. z o. o. FAU - Mowla, Mohammad Rafiqul AU - Mowla MR AD - Department of Dermatology and Venereology, Chittagong Medical College, Chittagong, Bangladesh. FAU - Barua, Deva Pratim AU - Barua DP AD - Department of Dermatology and Venereology, Chittagong Medical College, Chittagong, Bangladesh. FAU - Zaman, Shakila AU - Zaman S AD - Department of Dermatology and Venereology, Chittagong Medical College, Chittagong, Bangladesh. FAU - Chowdhury, Mohammad Ismail Hossain AU - Chowdhury MIH AD - Department of Dermatology and Venereology, Chittagong Medical College, Chittagong, Bangladesh. FAU - Ara, Shamim AU - Ara S AD - Chittagong International Medical College, Chittagong, Bangladesh. FAU - Reich, Adam AU - Reich A AD - Department of Dermatology, University of Rzeszow, Rzeszow, Poland. LA - eng PT - Journal Article DEP - 20211022 PL - Poland TA - Postepy Dermatol Alergol JT - Postepy dermatologii i alergologii JID - 101168357 PMC - PMC9454348 OTO - NOTNLM OT - Bangladesh OT - Chittagong OT - cutaneous lupus erythematosus COIS- The authors declare no conflict interest. EDAT- 2022/09/13 06:00 MHDA- 2022/09/13 06:01 PMCR- 2022/08/01 CRDT- 2022/09/12 03:48 PHST- 2021/07/09 00:00 [received] PHST- 2021/07/21 00:00 [accepted] PHST- 2022/09/12 03:48 [entrez] PHST- 2022/09/13 06:00 [pubmed] PHST- 2022/09/13 06:01 [medline] PHST- 2022/08/01 00:00 [pmc-release] AID - 45494 [pii] AID - 10.5114/ada.2021.110254 [doi] PST - ppublish SO - Postepy Dermatol Alergol. 2022 Aug;39(4):782-787. doi: 10.5114/ada.2021.110254. Epub 2021 Oct 22.