Lupus pernio is a chronic skin disease that most authors attribute to the Beck sarcoid species. The etiology is unclear, possibly of tubercular origin. Mainly women are ill.
Clinically, lupus pernio appears flat or slightly protruding above the skin by dense foci of lesion of various sizes, bluish and cold to the touch, they are localized, usually on the face ( nose , cheeks), less often on the hands, feet, buttocks. Sometimes the mucous membranes of the mouth, nose, lymph nodes, internal organs are affected. The process ends with atrophic changes, ulceration usually does not occur.
Lupus pernio must be differentiated from tuberculous lupus (see Skin Tuberculosis ) and leukemic rashes (see Leukemia).
Care. Patients should avoid hypothermia, it is recommended food rich in vitamins; dispensary observation is necessary.
Lupus pernio (chilled lupus) is a chronic disease of unknown etiology, considered by most authors as a peculiar form of sarcoidosis. Some authors point to the etiology, others point to the tuberculous nature of the disease. Histologically - infiltrates consisting mainly of epithelioid cells and fibroblasts; venous vessels dilated. Lupus pernio is more common in adult women.
The lesion is usually localized on the face, less often on the hands, feet, buttocks. The foci of the disease are more often of a tumor-like character, testovat, less often of a dense consistency, bluish or violet-reddish with a smooth, slightly tense and shiny surface, cold to the touch; in diascopy, the smallest brownish-brown nodules; ulceration and mutation are rarely observed; the process ends with atrophic changes. Often, cystic osteitis, lesions of the lymph nodes, lungs, less often the liver, spleen are found. Lupus pernio can escalate during the cold season. Differential diagnosis is carried out with lupus erythematosus, erythematosus, lymphocytoma, eosinophilic granuloma, and fever.
For treatment of Lupus pernio, see Sarcoidosis. For the prevention of important employment of the patient. Work should not be associated with exposure to cold temperature. We recommend a rational mode of work and rest, timely treatment for the recurrence of the disease. Clinical supervision should be carried out by dermatologists and therapists.