๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
LUPUS ERYTHEMATOSUS
LUPUS ERYTHEMATOSUSย ย (See also Section 14)ย ย ICD-10: M32.9
โข Mucosal involvement occurs in approximately 25% of those with chronic cutaneous lupus erythematosus.
โข Findings: Lesions: painless erythematous patches to chronic plaques, sharply marginated, irregularly scalloped white borders, radiating white striae, and telangiectasia. In older lesions: Central depression, and painful ulceration.
โข Distribution: Buccal mucosa; palate (Fig. 33-28), alveolar process, tongue. Chronic plaques may also appear on the vermilion border of the lips.
โข In acute systemic lupus erythematosus, ulcers arise in purpuric necrotic lesions of the palate (80%), buccal mucosa, or gums.
FIGURE 33-28 โข Lupus erythematosus: Hard palateโErythematous eroded plaques were associated with chronic cutaneous LE.