Description Discoid Lupus Erythematosus (DLE) was the most common Cutaneous lupus erythematosus (CLE) subtype diagnosed. Cutaneous manifestation occur in Systemic Lupus Erytematosus (SLE) patients. The incidence of CLE was 4,3/100.000. We reported a 33-year-old woman admitted to the hospital with injuries to her face, head, hands and feet since 6 months ago starting with black spots on her legs, redness on both cheeks accompanied by sores in her mouth, then getting worse in the last 1 month. The patient has a history of SLE since 6 months ago. On physical examination of the facial region showed erythematous macules, hyperpigmentation, multiple well-defined plaques with fine scales. Plaque erythema (butterfly rash). Crust in the right supraorbital region. The extensor anterbracium region shows discoid lesions, hyperpigmented plaques with crusts. Pedis and plantar pedis appear vascultilis. Laboratory finding showed RNP/Sm +++. Sm ++. RIB +++. Anti dsDNA < 10, C3 complement 107,8, and C4 complement 16,1. The patient treated with steroid, methotrexate, folic acid, calcium hydrogen phosphate, and cholecalciferol, and showed clinical improvement in 4 months.
Conclusions We report a case of 33-year-old woman with Progressive Discoid Lupus Related Severe Vasculitis as a rare case report and improved after treated with corticosteroid and methotrexate.
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