Squamous Cell Carcinoma Arising in Discoid Lupus Erythematosus of the Nail Unit

Novel Insights from Clinical Practice

Yendo T.M. · Gabbi T.V.B. · Nico M.M.S.

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Department of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil

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Article / Publication Details

First-Page Preview

Abstract of Novel Insights from Clinical Practice

Received: November 15, 2022
Accepted: January 22, 2023
Published online: February 15, 2023

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

Abstract

Introduction: Discoid lupus erythematosus can affect periungual tissues leading to onychodystrophy. Squamous cell carcinoma can occur in persistent scars of discoid lupus; this rare occurrence has not yet been reported on the nail unit. Case presentation: we report a case of squamous cell carcinoma occurring on the distal phalanx of the thumb in a patient with longstanding periungual discoid lupus on several fingernails. Discussion: Periungual discoid lupus erythematosus is rare. The scars caused by this disease can very rarely develop into squamous cell carcinoma. This is the first report of this occurrence at the periungual tissues.

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References Trüeb RM. Involvement of scalp and nails in lupus erythematosus. Lupus. 2010 Aug;19(9):1078–86. Wagner C, Chasset F, Francès C, Lipsker D. Lupus érythémateux et atteinte unguéale : étude rétrospective sur 14 patients [Ungual lesions in lupus erythematosus: a retrospective study of 14 patients]. Ann Dermatol Venereol. 2020 Dec;147(12):823–32. Wagner C, Chasset F, Fabacher T, Lipsker D. Lupus érythémateux et atteinte unguéale: revue de la littérature [Ungual lesions in lupus erythematosus: a literature review]. Ann de Dermatologie de Venereologie. 2020 Jan;147(1):18–28. Mufti A, Sachdeva M, Maliyar K, Sibbald RG. Squamous cell carcinoma arising within discoid lupus erythematous lesions: a systematic review. JAAD Int. 2021;2(2):1–4. Ju T, Ingrasci G, Diaz-Perez JA, Obayomi A, Yosipovitch G. Development of squamous cell carcinoma in the setting of chronic discoid lupus erythematosus may be associated with plasmacytoid dendritic cell inflammation. J Cutan Pathol. 2022 Aug 3;50(1):19–23. Online Ahead of Print Bazaliński D, Przybek-Mita J, Barańska B, Więch P. Marjolin’s ulcer in chronic wounds: review of available literature. Contemp Oncol. 2017 Sep;21(3):197–202. Article / Publication Details

First-Page Preview

Abstract of Novel Insights from Clinical Practice

Received: November 15, 2022
Accepted: January 22, 2023
Published online: February 15, 2023

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

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