SUBACUTE CUTANEOUS LUPUS ERYTHEMATOSUS WITH PSEUDO-PORPHYRIA AND VITILIGO

Abstract

Sub acute Cutaneous Lupus Erythematosus (SCLE) is a distinct subset of LupusErythematosus. It can present as non scarring psoriasiform or annular polycycliclesions. About half the patients fulfil the criteria of the American RheumatismAssociation for systemic lupus erythematosus. In this report, we present the case of a45 years old male who came with psoriasiform depigmented plaques and papulo-vesicular lesions developed after taking some medication. Clinically diagnosed as subacute cutaneous lupus erythematosus with acral vitiligo. A histopathological studyand urine analysis however revealed presence of pseudo porphyria along with theSCLE. Although SCLE is not a rare disease, the association of it with pseudo porphyriaand vitiligo is of significance as the treatment for SCLE and pseudo porphyria isphoto protection and for the vitiligo it is photo chemotherapy.ABSTRACTKey Words: Sub acute cutaneous lupus erythematosus, pseudo porphyria,vitiligo, psoriasiform eruptions.