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Correspondence |

Tumid Lupus Erythematosus at the Site of a Scar

Gregory Perez, MD; John P. Kowalczyk, BBA; Dwayne Montie, DO; Carlos H. Nousari, MD
Arch Dermatol. 2009;145(3):343-344. doi:10.1001/archdermatol.2008.615.
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Kuhn  ASonntag  MRuzicka  TLehmann  PMegahed  M Histopathologic findings in lupus erythematosus tumidus: review of 80 patients. J Am Acad Dermatol 2003;48 (6) 901- 908
PubMed Link to Article[[XSLOpenURL/10.1067/mjd.2003.435]]
Alexiades-Armenakas  MRBaldassano  MBince  B Tumid lupus erythematosus: criteria for classification with immunohistochemical analysis. Arthritis Rheum 2003;49 (4) 494- 500
PubMed Link to Article[[XSLOpenURL/10.1002/art.v49:4]]
Ruiz  HSanchez  JL Tumid lupus erythematosus. Am J Dermatopathol 1999;21 (4) 356- 360
PubMed Link to Article[[XSLOpenURL/10.1097/00000372-199908000-00008]]
Ueki  H Köbner phenomenon in lupus erythematosus [in German]. Hautarzt 1994;45 (3) 154- 160
PubMed Link to Article[[XSLOpenURL/10.1007/s001050050055]]
Mutasim  DFAdams  BB Immunofluorescence in dermatology. J Am Acad Dermatol 2001;45 (6) 803- 822
PubMed Link to Article[[XSLOpenURL/10.1067/mjd.2001.117518]]
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Figure 1

Tumid lupus erythematosus lesions (arrows) on and adjacent to sites of a surgical scar in the lumbar spine area.

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Figure 2

Hematoxylin-eosin (A) and direct immunofluorescence (B) studies of tumid lupus erythematosus (TLE) specimens. A, Specimen from a TLE lesion taken from a right lumbar area adjacent to a surgical scar. It shows a dense, mid to deep dermal, perivascular, lymphocytic infiltrate (arrow) with a periadnexal component (arrowhead), and pronounced increased mucopolysaccharide deposition (asterisk) (original magnification ×20). B, Specimen of a TLE lesion taken from a right lumbar area adjacent to a surgical scar showing IgM granular deposits (arrows) along the basement membrane zone of sweat glands and ducts in the deep dermis (original magnification ×20).

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