PMID- 37736481 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230923 IS - 2050-0904 (Print) IS - 2050-0904 (Electronic) IS - 2050-0904 (Linking) VI - 11 IP - 9 DP - 2023 Sep TI - Subacute cutaneous lupus erythematosus with a psoriasiform presentation: A diagnostic clinical conundrum. PG - e7893 LID - 10.1002/ccr3.7893 [doi] LID - e7893 AB - KEY CLINICAL MESSAGE: For practitioners experiencing worsening psoriasis, subacute cutaneous lupus erythematosus (SCLE) with a psoriasiform presentation should be ruled out. Initial treatment for a presumptive diagnosis of psoriasis using hydroxychloroquine or ultraviolet phototherapy may cause SCLE to worsen. ABSTRACT: Psoriasiform subacute cutaneous lupus erythematosus is an unusual presentation scarcely reported in literature. We report a case of a 54-year-old man who presented with an itchy, papulosquamous rash of the upper extremities and face for 7 months. The initial physical examination revealed the classical morphology of psoriasis. One and a half years after the diagnosis of clinical worsening, the patient noticed a new papular eruption on the right posterior upper arm. A skin biopsy was performed, confirming a diagnosis of subacute cutaneous lupus erythematosus. This case report highlights the importance of considering rare presentations of cutaneous lupus erythematosus and therapeutic challenges in management. CI - (c) 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. FAU - Razi, Shazli AU - Razi S AD - Rao Dermatology Atlantic Highlands New Jersey USA. AD - Department of Internal Medicine Jersey Shore University Medical Center Neptune New Jersey USA. FAU - Truong, Thu M AU - Truong TM AUID- ORCID: 0000-0002-6282-801X AD - Rao Dermatology Atlantic Highlands New Jersey USA. AD - Center for Dermatology Rutgers Robert Wood Johnson Medical School Somerset New Jersey USA. AD - Department of Medicine Rutgers New Jersey Medical School Newark New Jersey USA. FAU - Sekhon, Palveen AU - Sekhon P AD - Rao Dermatology Atlantic Highlands New Jersey USA. FAU - Ouellette, Samantha AU - Ouellette S AD - Rao Dermatology Atlantic Highlands New Jersey USA. AD - Center for Dermatology Rutgers Robert Wood Johnson Medical School Somerset New Jersey USA. FAU - Rao, Babar K AU - Rao BK AD - Rao Dermatology Atlantic Highlands New Jersey USA. AD - Center for Dermatology Rutgers Robert Wood Johnson Medical School Somerset New Jersey USA. AD - Department of Dermatology Weill Cornell Medicine New York New York USA. LA - eng PT - Case Reports DEP - 20230919 PL - England TA - Clin Case Rep JT - Clinical case reports JID - 101620385 PMC - PMC10509344 OTO - NOTNLM OT - lupus erythematosus OT - psoriasiform lupus erythematosus OT - psoriasis OT - subacute cutaneous lupus erythematosus COIS- Authors have no conflicts of interest to disclose. EDAT- 2023/09/22 06:42 MHDA- 2023/09/22 06:43 PMCR- 2023/09/19 CRDT- 2023/09/22 03:46 PHST- 2023/05/04 00:00 [received] PHST- 2023/07/05 00:00 [revised] PHST- 2023/08/25 00:00 [accepted] PHST- 2023/09/22 06:43 [medline] PHST- 2023/09/22 06:42 [pubmed] PHST- 2023/09/22 03:46 [entrez] PHST- 2023/09/19 00:00 [pmc-release] AID - CCR37893 [pii] AID - 10.1002/ccr3.7893 [doi] PST - epublish SO - Clin Case Rep. 2023 Sep 19;11(9):e7893. doi: 10.1002/ccr3.7893. eCollection 2023 Sep.