COEXISTING LICHEN-PLANUS AND SUBACUTE CUTANEOUS LUPUS-ERYTHEMATOSUS

We report a patient who presented with annular erythematous skin lesio ns and generalized lichenoid papules. The clinical picture as well as histopathology, immunofluorescence and laboratory findings indicated c oexistence of subacute cutaneous lupus erythematosus (SCLE) and extens ive generalized lichen planus (LP). Clinically and histologically, SCL E-like lesions appeared to progress into LP-like lesions, supporting t he concept of a common autoimmune pathophysiology in these disorders. Treatment with cyclosporin A (2.5 mg/kg body weight) resulted in a sig nificant remission of the inflammatory skin lesions.