Lupus pernio

Lupus pernio is a chronic skin disorder that most authors refers to the variety of sarcoid Beck. The etiology is unclear, possibly tuberculous origin. Sick mainly women.
Clinically lupus pernio appears flat or slightly protruding above the skin tight lesions of various sizes, cyanotic and cold to the touch, they are localized, usually on the face (nose, cheeks), less often on the hands, feet, buttocks. Sometimes affects the mucous membranes of the mouth, nose, lymph nodes and internal organs. The process ends atrophic changes, ulceration usually comes.
Lupus pernio must be differentiated from tuberculosis lupus (see Tuberculosis skin) and the leukemia rash (see Leukemia).
Care. Patients should avoid exposure to cold, it is recommended that food rich in vitamins; it is necessary clinical supervision.
Prognosis and treatment - see Sarcoidosis.

Lupus pernio (ozloblennaya lupus) is a chronic disease of unknown origin, is considered by most authors as a form of sarcoidosis. Some authors point to the etiology, others - on the tubercle nature of the disease. Histologically - infiltrates, consisting mainly of epithelioid cells and fibroblasts; venous vessels dilated. Lupus pernio more common in adult women.
Defeat is localized usually on the face, less often on the hands, feet, buttocks. The disease is more often-like character, testovaty, rarely plotnostei consistency, bluish or purple-reddish, with smooth, slightly hard and shiny surface, cold to the touch; if diascopia - tiny reddish-brown nodules; rarely are ulceration and Mytischi; the process ends atrophic changes. Often detected cystic octet, lymph nodes, lungs, rare liver, spleen. Lupus pernio may escalate in the cold season. Differential diagnostics is carried out with tuberculosis lupus, erythematous, limfozitami, eosinophilic granuloma and perniosis.
Treatment of Lupus pernio - see Sarcoidosis. For prevention, it is important employment patient. Work should not be linked to exposure to cold temperature. It is recommended that the rational regime of work and rest, timely treatment of relapses of the disease. Clinical supervision should be performed by dermatologists and General practitioners.