Dermatitis granulomatosa neutrofílica en empalizada como presentación inicial de lupus eritematoso sistémico

Katia Henostroza-Inga, Rosario Torres-Ibérico, Noé Atamari-Anahui, Roxana Lipa-Chancolla

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Background: Palisaded neutrophilic granulomatous dermatitis is a rare cutaneous manifestation in children associated with autoimmune pathologies. The exact pathogenesis of this disease is still unknown. However, it has been suggested that the deposition of immune complexes could initiate this pathology. Case report: We describe the case of an 11-year-old female patient who presented with polymorphic lesions in extremities associated with polyarthralgia. She was diagnosed with systemic lupus erythematosus and lupus nephritis. Because of the skin lesions, histopathological and immu-nohistochemical skin studies (CD68, CD163, myeloperoxidase) were performed, which resulted in palisaded neutrophilic granulomatous dermatitis. Due to renal involvement, treatment was administered with methylprednisolone pulses, hydroxy-chloroquine, mycophenolate mofetil, antihypertensives, and nonsteroidal anti-inflammatory drugs. The clinical response was favorable during follow-up. Conclusions: Palisaded neutrophilic granulomatous dermatitis associated with systemic lupus erythematosus is unusual. Therefore, its recognition is important, as it may appear as the initial manifestation of this autoimmune disease.

Título traducido de la contribuciónPalisaded neutrophilic granulomatous dermatitis as the initial presentation of systemic lupus erythematosus
Idioma originalEspañol
Páginas (desde-hasta)652-656
Número de páginas5
PublicaciónBoletin Medico del Hospital Infantil de Mexico
Volumen78
N.º6
DOI
EstadoPublicada - 1 nov. 2021

Palabras clave

  • Child
  • Interstitial granulomatous dermatitis
  • Palisaded neutrophilic granulomatous dermatitis
  • Systemic lupus erythema-tosus

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