Medical College of Wisconsin
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Tumid lupus: An unexpected diagnosis for the otolaryngologist. Am J Otolaryngol 2017;38(2):257-259

Date

01/27/2017

Pubmed ID

28122678

Pubmed Central ID

PMC5826658

DOI

10.1016/j.amjoto.2017.01.003

Scopus ID

2-s2.0-85009872750 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

Tumid lupus is an uncommon variant of lupus erythematosus. Patients present with subcutaneous lesions. Ophthalmic literature reports disease manifestation as orbital inflammation. Autoimmune serology is often negative. Without a high index of suspicion, the diagnosis is easily overlooked delaying treatment. Tumid lupus is not significantly discussed in the Otolaryngologic literature. Here we present a Case Report of a male who initially presented to Ophthalmology with unilateral orbital complaint of eyelid puffiness. Orbital biopsy and subsequent biopsy of his submental skin lesions ultimately led to this unexpected diagnosis. We discuss the method to diagnose tumid lupus including representative histopathologic findings.

Author List

Jefferson GD, Aakalu VK, Braniecki M

Author

Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Antirheumatic Agents
Biopsy
Diagnosis, Differential
Humans
Hydroxychloroquine
Male
Middle Aged
Panniculitis, Lupus Erythematosus
Tomography, X-Ray Computed