[Two faces of Janus : Coexistence of systemic lupus erythematosus and psoriasis in the same patient.] Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete [Hautarzt] Journal article | | Title | [Two faces of Janus : Coexistence of systemic lupus erythematosus and psoriasis in the same patient.] | | Author(s) | Shimanovich I, Merl V, Zillikens D, Grabbe J, Rose C | | Institution | Klinik für Dermatologie, Allergologie und Venerologie, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland, shim92@hotmail.com. | | Source | Hautarzt 2009 May 7. | | Abstract | While both lupus erythematosus and psoriasis are inflammatory dermatoses characterized by scaly erythematous plaques, they are rarely confused in clinical practice. We report a woman who alternately presented with lupus erythematosus and psoriasis over 14 years but the former condition was not recognized and adequately treated. After the complete diagnosis had been established, a combination of thalidomide and acitretin resulted in a prolonged remission of both disorders. This unusual case demonstrates that coexistence of two diseases in one patient presents a diagnostic challenge that can only be met by repeated careful correlation of all clinical and histopathologic findings. It is of particular importance if these diseases require conflicting management strategies. | | Language | GER | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19418031 |
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