Acute Cutaneous and Generalized Discoid Lupus Erythematosusin Systemic Lupus Erythematosus with Neuropsychiatric Complications: A Multidisciplinary Approach

Fadhli Aulia Mughni, Randy Satria Nugraha, Eyleny Meisyah Fitri, Tjhin Wiguna, Windy Keumala Budianti

2019

Abstract

Acute cutaneous lupus erythematosus (ACLE) is a type of cutaneous lupus erythematosus (CLE) which presents as the characteristic malar rash and has high association with the systemic lupus erythematosus (SLE). Discoid lupus erythematosus (DLE) is a type of chronic CLE (CCLE) typically present as discoid atrophic scars with central hypopigmentation and is usually localized to skin lesions. SLE can present with a wide spectrum of complications affecting multiple organs, including neuropsychiatric involvement. We report a case of a 15-year-oldfemalepresented with the characteristic malar rash which is aggravated by sun exposure, multiple atrophic scars on the scalp and legs, and scaring alopecia. Clinical history and complete physical examination confirmed the diagnosis of ACLE and generalized DLE. She has been treated routinely for SLE since two years ago with oral methylprednisolone and mycophenolate mofetil. She also experienced psychiatric disorders, mainly depression and anxiety, and was consulted to the psychiatry clinic for neuropsychiatric complications.We focus to describe our management plan in compiling detailed regimen of topical sunscreen and corticosteroid usage which is tailored to the patient’s routine activity and limitations. We also provided continuous support and established collaborative management plan with other associated departments for evaluation of other complications. This personalized and multidisciplinary approach proves to increaseher compliance andresulted in significant improvement of the disease and her quality of life.

Paper Citation

in Harvard Style

Mughni F., Nugraha R., Fitri E., Wiguna T. and Budianti W. (2019). Acute Cutaneous and Generalized Discoid Lupus Erythematosusin Systemic Lupus Erythematosus with Neuropsychiatric Complications: A Multidisciplinary Approach.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 320-324. DOI: 10.5220/0009987803200324

in Bibtex Style

@conference{ictromi19,
author={Fadhli Aulia Mughni and Randy Satria Nugraha and Eyleny Meisyah Fitri and Tjhin Wiguna and Windy Keumala Budianti},
title={Acute Cutaneous and Generalized Discoid Lupus Erythematosusin Systemic Lupus Erythematosus with Neuropsychiatric Complications: A Multidisciplinary Approach},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={320-324},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009987803200324},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Acute Cutaneous and Generalized Discoid Lupus Erythematosusin Systemic Lupus Erythematosus with Neuropsychiatric Complications: A Multidisciplinary Approach
SN - 978-989-758-469-5
AU - Mughni F.
AU - Nugraha R.
AU - Fitri E.
AU - Wiguna T.
AU - Budianti W.
PY - 2019
SP - 320
EP - 324
DO - 10.5220/0009987803200324