DIAGNOSIS OF LUPUS ERYTHEMATOSUS BY ORAL LESIONS: CASE REPORT

A 49-year-old white female patient presented bilateral white plaques on the buccal mucosa and lateral border of tongue with erythematous background, which was asymptomatic. On anamnesis, the patient reported bald patches in the midscalp region. The oral lesions were treated with 0.05% aqueous clobetasol solution for 15 days without significant improvement. The clobetasol concentration was increased to 0.1% for a further 15 days without significant improvement of the lesions. All treatments were suspended for 15 days, and a biopsy was proposed. Histopathologic analysis suggested the diagnosis of lupus erythematosus. The patient was then referred to rheumatology for the conclusion of the diagnosis, where hematologic tests were requested, confirming lupus erythematosus. The patient has been followed by rheumatology and stomatology.