Systemic lupus erythematosus in dermatological practice

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Despite significant advances in the study of the etiology and pathogenesis of systemic lupus erythematosus, the diagnosis of this disease is currently still causing certain difficulties. The active role of dermatologists in the early detection of systemic indicators of the process can be of key importance and be a consequence of a more favorable course of the disease with timely interdisciplinary interaction. A competent approach to monitoring patients, constructive interaction in tandem between a dermatologist and a rheumatologist is the key to reliable diagnosis and early initiation of pathogenetic treatment. With such a variety of clinical manifestations, especially in atypical variants of the disease, verification of the diagnosis is difficult. In this regard, the article presents descriptions of two clinical cases of systemic lupus erythematosus in dermatological practice.

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作者简介

M. Tlish

Kuban State Medical University, Ministry of Health of Russia

编辑信件的主要联系方式.
Email: marina@netzkom.ru
ORCID iD: 0000-0001-9323-4604

MD, Professor

俄罗斯联邦, Krasnodar

Zh. Naatyzh

Kuban State Medical University, Ministry of Health of Russia

Email: nzhannau@mail.ru
ORCID iD: 0000-0001-9754-5063

Candidate of Medical Sciences

俄罗斯联邦, Krasnodar

T. Kuznetsova

Kuban State Medical University, Ministry of Health of Russia

Email: nzhannau@mail.ru
ORCID iD: 0000-0002-0426-5167

Candidate of Medical Sciences

俄罗斯联邦, Krasnodar

N. Boiko

Kuban State Medical University, Ministry of Health of Russia

Email: nzhannau@mail.ru
ORCID iD: 0000-0003-3941-3147

Candidate of Medical Sciences

俄罗斯联邦, Krasnodar

参考

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  2. Jarukitsopa S., Hoganson D.D., Crowson C.S. et al. Epidemiology of systemic lupus erythematosus and cutaneous lupus erythematosus in a predominantly white population in the United States. Arthritis Care Res. 2015; 67 (6): 817–28. doi: 10.1002/acr.22502
  3. Тлиш М.М., Наатыж Ж.Ю., Кузнецова Т.Г. и др. Системная красная волчанка: настороженность в практике дерматолога. Лечащий врач. 2020; 11: 23–6 [Tlish M.M., Naatyzh Zh.Yu., Kuznetsova T.G. et al. Systemic lupus erythematosus: alertness in the practice of a dermatologist. Lechaschi Vrach. 2020; 11: 23–6 (in Russ.)]. doi: 10.26295/OS.2020.35.78.005
  4. Трофимов П.Н., Антонова О.В., Швырев Д.Н., и др. Кожные формы красной волчанки: патогенез, клиника, диагностика, терапия. Вестник дерматологии и венерологии. 2015; 5: 23–36 [Trofimov P.N., Antonova O.V., Shvyrev D.N. et al. Cutaneous lupus erythematosus: pathogenesis, clinical pattern, diagnostics, therapy. Vestnik dermatologii i venerologii. 2015; 5: 23–36 (in Russ.)].
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1. JATS XML
2. Fig. 1. Patient S.: erythematous foci in the parietal region with areas of scar atrophy

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3. Fig. 2. Patient M.: a – erythematous foci on the skin of the parietal region with areas of scar atrophy; б – foci of infiltration of bright red color on the oral mucosa; в – erythematous foci on the skin of the face, in the central part of some foci scar atrophy of alabaster-white color is expressed; г – erythematous foci covered with scales on the skin in the upper third of the back

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