A secondary discoid lupus erythematosus induced by scald of edible oil: An illustration of Koebner phenomenon

J Cosmet Dermatol. 2020 Jul;19(7):1699-1701. doi: 10.1111/jocd.13189. Epub 2019 Oct 29.

Abstract

Background: Discoid lupus erythematosus (DLE) is a most well-known clinical variation of chronic cutaneous lupus erythematosus inside the spectrum of lupus erythematosus (LE). Cutaneous trauma remains a significant and peculiar causative factor for DLE.

Aims: We present a case wherein the patient demonstrated unilateral distribution of DLE on a clinically normal appearing occult facial scald of edible oil, representing Koebner phenomenon (KP) i.e. occurrence of a new skin disease at the site of an unrelated and already healed one.

Patient/methods: The 53 years old female patient was unique because she experienced DLE on the nasal back.

Results: The injury was totally settled following a month treatment of oral hydroxychloroquine and topical 0.03% tacrolimus ointment. After three months, she encountered an accidental edible oil scald on the right upper cheek. Several small vesicles appeared on a soybean-sized erythema base with a burning sensation.

Conclusion: We review the literature and conclude by discussing important histologic highlights to think about while endeavoring to perceive the fundamental character and pathogenicity of such sores.

Keywords: autoimmune disease; discoid lupus erythematosus; koebner phenomenon; lupus erythematosus.

Publication types

  • Review

MeSH terms

  • Burns*
  • Erythema
  • Female
  • Humans
  • Hydroxychloroquine
  • Lupus Erythematosus, Discoid* / drug therapy
  • Middle Aged
  • Tacrolimus

Substances

  • Hydroxychloroquine
  • Tacrolimus