Lupus eritematoso cutáneo crónico de localización palpebral

El lupus eritematoso cutaneo incluye un gran espectro de manifestaciones dermatologicas. De todas sus formas clinicas, la mas frecuente es el lupus eritematoso cutaneo cronico (LECC). El lupus discoide (LED) es su variante mas prevalente. El compromiso palpebral como unica manifestacion de la enfermedad es muy infrecuente y suele conllevar retrasos en el diagnostico y el tratamiento debido a la gran cantidad de diagnosticos diferenciales que plantea esta situacion clinica. Comunicamos una serie de casos de LECC con compromiso palpebral como unica manifestacion clinica inicial y realizamos una revision bibliografica. Enfatizamos la importancia del diagnostico precoz y el tratamiento oportuno para evitar secuelas esteticas y funcionales. Palabras clave: lupus cutaneo cronico, lupus palpebral, lupus discoide, lupus tumido, edema palpebral, eritema palpebral. Dermatol. Argent. 2019, 25 (3): 110-114 Chronic cutaneous lupus erythematosus with palpebral involvement Abstract Cutaneous lupus erythematosus includes a wide spectrum of dermatological manifestations. Of all its clinical forms, the most frequent is chronic cutaneous lupus, and discoid lupus is the most prevalent variant. Eyelid involvement as the only manifestation of this disease is extremely rare, and often involves delays in diagnosis and treatment due to the large number of differential diagnoses presented by this clinical situation. We report a series of two cases with palpebral involvement as the only initial clinical manifestation of lupus erythematosus, and we made a literature review of chronic cutaneous lupus with ocular involvement. We emphasize the importance of early diagnosis and treatment to avoid aesthetic and functional sequelae. Key words: chronic cutaneous lupus, palpebral lupus, discoid lupus, lupus erythematosus tumidus, eyelid edema, eyelid erythema. Dermatol. Argent. 2019, 25 (3): 110-114