ISSN: 2574-7800
Authors: Jroundi C*, Elloudi S, Kassel J, Douhi Z, Baybay H and Zahra Mernissi F
Background: Systemic lupus erythematosus is an autoimmune systemic disease in which skin involvement is particularly frequent, representing 80% of cases, with a clear female predominance. The clinical features, especially the cutaneous manifestations in men, are therefore rarely evaluated. The objective of this study is to describe clinical presentation and outcome of cutaneous lupus erythematosus in men. Materials and Methods: Retrospective descriptive study conducted in the dermatology department of the Hassan II university hospital of Fez-Morocco, including 12 male patients with cutaneous lupus erythematosus. Results: The mean age of the patients was 39 years, with age extremes ranging from 17 to 61 years. A history of chronic smoking was found in 5 patients. Photosensitivity was noted in 4 patients. The average disease duration was 6.3 years, varying from 1 to 12 years. 10 patients were phototype IV of Fitzpatrick and 2 patients of phototype III. The clinical cutaneous subtypes reported were discoid lupus in 83% of the cases (10 patients), 1 case of lupus tumidus and 1 case of subacute annular lupus. The ANA were positive in 4 patients. Extracutaneous systemic manifestations were found in 2 patients, such as arthralgia. Conclusion: It is important to raise awareness among physicians regarding cutaneous lupus erythematosus in men, its clinical and prognostic characteristics and its therapeutic implications.
Keywords: Cutaneous lupus erythematosus; Men; Gender disparities