Hutchinson's Lupus

Hutchinson's lupus granulosa (pernioform): a painful dermatosis of the fingers, characterized by inflammation of the skin in the form of large, edematous plaques of bright pink color with a finely lumpy surface and an abundant microvesicular rash. It is observed in women more often than in men.

Etiology: the causes of the disease are unknown. Predisposing factors are hypothermia and decreased immune defenses of the body.

Clinical picture: general malaise, sweating, malaise. Red blood cells and even hemorrhages appear. The main changes are observed on the skin of the hands. Hypersensitive areas of the skin of the hands (forearms, elbows and finger joints and metacarpophalangeal joints) may be susceptible to swelling. In these areas, an unstable rash may be present in the form of small blisters filled with liquid exudate, after rupture of which weeping erosions surrounded by perivascular hemorrhages are exposed. There is a high probability of secondary infection of the vesicles at the site of burst vessels and the appearance of serous crusts. Already at the end of the first week, large, bumpy foci of skin irritation several centimeters in size may be detected. Fever is possible on the fifteenth day of the disease.

Course of the disease: the disease lasts from two weeks to a month and is completely cured. Relapses of the disease are possible once or twice a year.

Hutchinson's lupus is a rare skin disease that primarily affects the hands, fingers, and face. The etiology is unknown. In most patients, dysfunction of the pituitary-adrenal system is detected. The disease is usually recurrent in nature. During a relapse, the process develops predominantly in the suprabasal layer of the epidermis, causing the appearance of bright red or pink-white shiny spots of round or oval shape with a diameter of 2-3 mm,