Systemic lupus erythematosus in dermatological practice

DOI: https://doi.org/10.29296/25877305-2024-04-14
Issue: 
4
Year: 
2024

Professor M. Tlish(1), MD; Zh. Naatyzh(1), Candidate of Medical Sciences;
T. Kuznetsova(1), Candidate of Medical Sciences; N. Boiko(2), Candidate of Medical Sciences
1-Kuban State Medical University, Ministry of Health of Russia, Krasnodar
2-LLC «City Clinic», Krasnodar

Despite significant advances in the study of the etiology and pathogenesis of systemic lupus erythematosus, the diagnosis of this disease is currently still causing certain difficulties. The active role of dermatologists in the early detection of systemic indicators of the process can be of key importance and be a consequence of a more favorable course of the disease with timely interdisciplinary interaction. A competent approach to monitoring patients, constructive interaction in tandem between a dermatologist and a rheumatologist is the key to reliable diagnosis and early initiation of pathogenetic treatment. With such a variety of clinical manifestations, especially in atypical variants of the disease, verification of the diagnosis is difficult. In this regard, the article presents descriptions of two clinical cases of systemic lupus erythematosus in dermatological practice.
Keywords: 
dermatology
systemic lupus erythematosus
differential diagnosis
multidisciplinary approach.

References: 
  1. Тлиш М.М., Наатыж Ж.Ю., Сычева Н.Л. и др. Трудности диагностики системной красной волчанки. Российский журнал кожных и венерических болезней. 2014; 17 (3): 36–41 [Tlish M.M., Naatyzh Z.Y., Sycheva N.L., et al. Difficulties in the diagnosis of systemic lupus erythematosus. Russian Journal of Skin and Venereal Diseases. 2014; 17 (3): 36–41 (in Russ.)]. DOI: 10.17816/dv36883
  2. Jarukitsopa S., Hoganson D.D., Crowson C.S. et al. Epidemiology of systemic lupus erythematosus and cutaneous lupus erythematosus in a predominantly white population in the United States. Arthritis Care Res. 2015; 67 (6): 817–28. DOI: 10.1002/acr.22502
  3. Тлиш М.М., Наатыж Ж.Ю., Кузнецова Т.Г. и др. Системная красная волчанка: настороженность в практике дерматолога. Лечащий врач. 2020; 11: 23–6 [Tlish M.M., Naatyzh Zh.Yu., Kuznetsova T.G. et al. Systemic lupus erythematosus: alertness in the practice of a dermatologist. Lechaschi Vrach. 2020; 11: 23–6 (in Russ.)]. DOI: 10.26295/OS.2020.35.78.005
  4. Трофимов П.Н., Антонова О.В., Швырев Д.Н., и др. Кожные формы красной волчанки: патогенез, клиника, диагностика, терапия. Вестник дерматологии и венерологии. 2015; 5: 23–36 [Trofimov P.N., Antonova O.V., Shvyrev D.N. et al. Cutaneous lupus erythematosus: pathogenesis, clinical pattern, diagnostics, therapy. Vestnik dermatologii i venerologii. 2015; 5: 23–36 (in Russ.)].
  5. Агафонова Е.М., Клюквина Н.Г., Урумова М.М. Сочетание системной красной волчанки и псориатического артрита: данные литературы и описание случая. Современная ревматология. 2018; 12 (4):123–8 [Agafonova E.M., Klyukvina N.G., Urumova M.M. Concurrence of systemic lupus erythematosus and psoriatic arthritis: literature data and a case report. Modern Rheumatology Journal. 2018; 12 (4): 123–8 (in Russ.)]. DOI: 10.14412/1996-7012-2018-4-123-128
  6. Тлиш М.М., Кузнецова Т.Г., Наатыж Ж.Ю. и др. Рецидивирующий полихондрит в практике врача дерматовенеролога. Терапевтический архив. 2018; 90 (1): 65–7 [Tlish M.M., Kuznetsova T.G., Naatyzh Z.Y. et al. Relapsing polychondritis in medical practice of dermatovenerologist. Terapevticheskii arkhiv. 2018; 90 (1): 65–7 (in Russ.)]. DOI: 10.17116/terarkh201890165-68
  7. Панафидина Т.А., Попкова Т.В., Асеева Е.А. и др. Современный подход в диагностике и лечении системной красной волчанки. Доктор.Ру. 2021; 20 (7): 40–50 [Panafidina T.A., Popkova T.V., Aseeva E.A. et al. A Modern Approach to the Diagnosis and Management of Systemic Lupus Erythematosus. Doctor.Ru. 2021; 20 (7): 40–50 (in Russ.)]. DOI: 10.31550/1727-2378-2021-20-7-40-50