Dr. Sarah Bolander
Rosacea and cutaneous lupus erythematosus (CLE) are both chronic inflammatory conditions which can present with a malar rash on physical exam. Rosacea is a common disorder, and signs and symptoms can include flushing, facial redness, telangiectasias, and phymatous skin changes. CLE is a less common disorder, and can be characterized by facial erythema, a malar rash, discoid lesions, oral or nasopharyngeal ulcers, and various other findings. Discoid lupus erythematosus (DLE) is the most common form of CLE. Both rosacea and CLE can have similar clinical manifestations, including facial erythema aggravated by sun exposure, a malar rash, and an elevated antinuclear antibody (ANA) titer. These similarities pose a diagnostic challenge for dermatology providers. We examine a case of a 50-year-old Caucasian male who presented to our clinic with an erythematous malar rash. A diagnosis of concurrent erythematotelangiectatic rosacea and cutaneous lupus erythematosus (CLE) was later made and confirmed by pathology and clinical findings.
Schulman RK. A Case of Concurrent Erythematotelangiectatic Rosacea and Cutaneous Lupus Erythematosus. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2022; 4(3).
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