Lupus erythematosus-lichen planus overlap syndrome in an HIV-infected individual

Patil, Priyanka; Nayak, Chitra; També, Swagata; Das, Dipti

doi:10.1177/0956462415618109

Cited by 6 publications

(5 citation statements)

References 12 publications

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“… 9 , 10 , 11 , 12 In total, 38 cases of CLE/LP overlap syndrome were identified. 1 , 2 , 3 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 Of these 38 cases, 12 were classified as “classic,” 21 were classified as “possible,” and 5 had incomplete workup and thus were unable to be classified as CLE/LP overlap syndrome according to our criterion. Demographic information, clinical features, histologic features, immunofluorescence, serologic findings, laboratory findings, treatments, and treatment responses in these cases are summarized in Table II .…”

Section: Discussionmentioning

confidence: 98%

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Cutaneous lupus erythematosus/lichen planus overlap syndrome

et al. 2021

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Section: Discussionmentioning

confidence: 98%

“… Not reported. Classic overlap Patil et al 14 40 yo; F Multiple erythematous to depigmented atrophic scaly plaques with peripheral hyperpigmentation on extensors of both upper and lower extremities and back. Buccal erosions with scalloped borders and diffuse cheilitis.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous lupus erythematosus/lichen planus overlap syndrome

et al. 2021

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“…Mucosal involvement was predominantly seen in our patients compared to cases reported in literature. [ 3 4 5 8 9 10 11 12 13 ] Buccal mucosa was the most commonly affected mucosa, and reticulate type of LP was the most common.…”

Section: Discussionmentioning

confidence: 99%

Clinical and histopathological aspects of lichenoid dermatitis in patients of retroviral diseases

Zambare

Tambe

Nayak

et al. 2022

Indian J Sex Transm Dis

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Context: Lichen planus (LP) is known to be associated with viral infections such as hepatitis B and C, but its association with HIV is rarely reported. Lichenoid drug eruptions have been implicated as the side effects of anti-retroviral therapy. Aims and Objectives: The aim of this study is to study demographics, clinical, histological, and immunological profile of the HIV patients presenting with lichenoid dermatitis. Subjects and Methods: HIV patients presenting with LP such as lesions were evaluated with complete history and physical examination. Demographic profile of patients was studied with features such as age, sex, duration of disease, distribution of the lesions, CD4 count, concomitant medications, associated comorbidities, and response to the treatment. Results: Twenty-one HIV patients presenting with LP such as lesions were studied. Of these, 20 patients had LP and one patient had lichenoid drug reaction. The age of the patient ranged from 40 to 60 years with no sex predilection. The duration of lesions ranged from 15 days to 7 years. Eleven patients had simultaneous cutaneous and oral involvement, five patients had only oral involvement and four patients of LP and one patient of lichenoid drug reaction had only cutaneous lesions. All the patients were on antiretroviral therapy, mainly on lamivudine, zidovudine, and nevirapine. Almost all the patients had CD4 count of more than 250 at the time of presentation. One patient was diagnosed to have lupus erythematosus and LP overlap. Patients were treated with oral medications such as corticosteroids, methotrexate, and dapsone and topical medications such as corticosteroids and calcineurin inhibitors. Conclusions: The appearance of LP such as lesions in HIV patients is a rare occurrence with 11 cases of LP reported till date. Our case series of 20 patients will throw light on possible etiology and difficulties in the management of LP such as lesions in HIV patients.

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“…To date, ~50 cases of LP/LE overlap syndrome have been reported, most of whom are between 25 and 45 years old, with a predominance of women ( 4 ). There is controversy about LP/LE overlap syndrome should be an independent diagnosis specifically for the coexistence of LE and LP as it has been reported that patients have separate lesions consistent with each disease.…”

Section: Discussionmentioning

confidence: 99%

Case Report: The First Reported Case of Bullous Lichen Planus-Systemic Lupus Erythematosus Overlap Syndrome

Liu

Liang

et al. 2021

Front. Med.

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Introduction: Lichen planus/lupus erythematosus overlap syndrome is rarely seen in the clinic and has the characteristic clinical manifestations, histopathology, and immunopathology of lichen planus (LP) and lupus erythematosus (LE). This is the first reported case of bullous lichen planus (BLP)/systemic lupus erythematosus (SLE) overlap syndrome with hair loss as the first symptom.Case Presentation: A 48-year-old female presented with alopecia for half a year, and skin lesions accompanied by itching on her face, trunk, and limbs for 3 months. She had a history suggestive of photosensitivity. Laboratory tests and histopathology were performed for diagnosis. Histopathologic features of the upper arm and back of the hand were consistent with BLP, whereas the scalp lesion indicated LE. Laboratory examination indicated positive for antinuclear antibody (ANA) (1:160), leukopenia, increased urinary protein, decreased C3/C4, and normal BP180. The patient was given glucocorticoid combined with acitretin and immunosuppressive therapy after a definite diagnosis of BLP/SLE overlap syndrome. The lesions of the patient disappeared and some hair had regrown during the two years of follow-up.Conclusion: This is the first reported case of BLP/SLE overlap syndrome which responded well to glucocorticoids, retinoids, and immunosuppressive drugs. Multiple biopsies from characteristic lesions will guide doctors to avoid misdiagnoses and delayed treatment.

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Lupus erythematosus-lichen planus overlap syndrome in an HIV-infected individual

Cited by 6 publications

References 12 publications

Cutaneous lupus erythematosus/lichen planus overlap syndrome

Cutaneous lupus erythematosus/lichen planus overlap syndrome

Clinical and histopathological aspects of lichenoid dermatitis in patients of retroviral diseases

Case Report: The First Reported Case of Bullous Lichen Planus-Systemic Lupus Erythematosus Overlap Syndrome

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