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  • Title: Discoid lupus erythematosus presenting as asymmetric posterior blepharitis.
    Author: Gloor P, Kim M, McNiff JM, Wolfley D.
    Journal: Am J Ophthalmol; 1997 Nov; 124(5):707-9. PubMed ID: 9372736.
    Abstract:
    PURPOSE: To describe the ophthalmic findings of patients with discoid lupus erythematosus. METHOD: We describe two women who originally were thought to have asymmetric posterior blepharitis; however, the involved eyelid also had an erythematous, scaly cutaneous lesion. RESULT: In both patients, histology and immunofluorescence studies performed on cutaneous biopsy specimens established the diagnosis of discoid lupus erythematosus. CONCLUSIONS: It is important to diagnose discoid lupus of the eyelids because misdiagnosis can delay treatment and thus lead to deformities of the eyelid margin. Misdiagnosis can also lead to a complicated full-thickness eyelid biopsy and delay the diagnosis of systemic lupus erythematosus.
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