PMID- 8002337 OWN - NLM STAT- MEDLINE DCOM- 19950120 LR - 20190920 IS - 0017-8470 (Print) IS - 0017-8470 (Linking) VI - 45 IP - 10 DP - 1994 Oct TI - [Course and prognosis of subacute cutaneous lupus erythematosus. A prospective study of 34 patients]. PG - 690-5 AB - 34 patients with subacute cutaneous lupus erythematosus (SCLE) were prospectively followed up and examined twice in 1986-1989 and 1990-1991, with a minimal interval of 2 years. The findings obtained were documented in a computerized registry and were evaluated by computer-assisted analysis. Thirty-one women and three men aged 23-66 years at the time of the first documentation (FD) were included in the study. The disease had lasted an average 6.5 years (from a few months to 39 years). Prominent cutaneous manifestations of SCLE were shown by 79.4% of the patients at the first visit compared to 58.8% at the second documentation (SD), whereas the incidence of acrolocalized vasculitis increased (FD 20.6%, SD 41.2%), as did that of Raynaud phenomenon (FD 20.6%, SD 26.5%). Mild extracutaneous symptomatology was found in 70.6% (FD) and in 85.3% (SD) of the SCLE patients. Arthralgia (FD 47%, SD 61.8%) and symptoms suggesting some involvement of the peripheral or central nervous system (FD 29.4%, SD 50%) were noted most frequently. Overall, during the follow-up there was a quantitative mild increase of extracutaneous symptomatology; a significant correlation between the presence of acrolocalized vasculitis and arthralgia was found. In conclusion, the prognosis of SCLE appears rather benign; fulminant courses were not observed. However, the risk of mild systemic involvement clearly increases during the prospective course of the disease, whereby acrolocalized vasculitis can be regarded as a cutaneous marker for extracutaneous manifestations. FAU - Tebbe, B AU - Tebbe B AD - Universitats-Hautklinik und Poliklinik, Klinikum Benjamin Franklin, Freie Universitat Berlin. FAU - Hoffmann, S AU - Hoffmann S FAU - Orfanos, C E AU - Orfanos CE LA - ger PT - English Abstract PT - Journal Article TT - Verlauf und Prognose des subakut-kutanen Lupus erythematodes. Eine prospektive Studie an 34 Patienten. PL - Germany TA - Hautarzt JT - Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete JID - 0372755 RN - 0 (Antibodies, Antinuclear) SB - IM MH - Acrodermatitis/diagnosis MH - Adult MH - Aged MH - Antibodies, Antinuclear/analysis MH - Female MH - Follow-Up Studies MH - Humans MH - Lupus Erythematosus, Cutaneous/*diagnosis MH - Lupus Erythematosus, Systemic/diagnosis MH - Male MH - Middle Aged MH - Prognosis MH - Prospective Studies MH - Raynaud Disease/diagnosis EDAT- 1994/10/01 00:00 MHDA- 1994/10/01 00:01 CRDT- 1994/10/01 00:00 PHST- 1994/10/01 00:00 [pubmed] PHST- 1994/10/01 00:01 [medline] PHST- 1994/10/01 00:00 [entrez] AID - 10.1007/s001050050151 [doi] PST - ppublish SO - Hautarzt. 1994 Oct;45(10):690-5. doi: 10.1007/s001050050151.