Abstract
Subacute cutaneous lupus erythematosus (SCLE) is a photosensitive dermatosis characterized
by a nonscarring papulosquamous eruption and specific antibodies in the patient's
serum. Genetic and environmental factors represent the leading causes of SCLE; however,
several case reports in the literature link SCLE to various types of cancer. This
review assesses the association between SCLE and neoplastic disorders. A PubMed search
was performed for all relevant publications on cancer-associated SCLE from 1982 to
2022. This review supports the hypothesis that SCLE should be considered a facultative
paraneoplastic phenomenon. It also emphasizes the importance of cancer screening in
patients presenting SCLE manifestations.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinics in DermatologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- S2k guideline for treatment of cutaneous lupus erythematosus - guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV).J Eur Acad Dermatol Venereol. 2017; 31: 389-404
- Cutaneous lupus erythematosus: current and future pathogenesis-directed therapies.Yale J Biol Med. 2020; 93: 81-95
- A comprehensive review of immune-mediated dermatopathology in systemic lupus erythematosus.J Autoimmun. 2018; 93: 1-15
- Lupus erythematosus: systemic and cutaneous manifestations.Clin Dermatol. 2006; 24: 348-362
- Frequency and severity of systemic disease in patients with subacute cutaneous lupus erythematosus.Arch Dermatol. 2002; 138: 1175-1178
- The classification and diagnosis of cutaneous lupus erythematosus.J Autoimmun. 2014; 48-49: 14-19
- Subacute cutaneous lupus erythematosus.StatPearls. StatPearls Publishing, Treasure Island (FL)May 12, 2022
- Cutaneous lupus erythematosus: diagnosis and treatment.Best Pract Res Clin Rheumatol. 2013; 27: 391-404
- Drug-induced subacute cutaneous lupus erythematosus in previously diagnosed systemic lupus erythematosus patients: a case series.JAAD Case Rep. 2021; 12: 18-21
- Chemotherapy-induced subacute lupus erythematosus.Lupus. 2009; 18: 859-860
- Gemcitabine-induced subacute cutaneous lupus erythematosus: a case report.Chemotherapy. 2016; 61: 236-239
- Subacute cutaneous lupus erythematosus induced by gemcitabine in 2 patients with pancreatic cancer.JAAD Case Rep. 2019; 5: 596-601
- Anastrozole-induced subacute cutaneous lupus erythematosus.Cutis. 2016; 98: E22-E26
- Subacute lupus erythematosus-like gyrate erythema. Report of a case associated with a breast cancer.Dermatologica. 1986; 173: 146-149
- Paraneoplastic cutaneous lupus secondary to esophageal squamous cell carcinoma.J Gastrointest Oncol. 2015; 6: E61-E65
- Paraneoplastic subacute cutaneous lupus erythematosus: an underrecognized entity.Cutis. 2013; 91: 25-29
- Lupus cutané subaigu et cancer: deux cas et revue de la littérature [Subacute cutaneous lupus erythematosus and cancer: two cases and literature review].Ann Dermatol Venereol. 2011; 138: 409-417
- A case of paraneoplastic subacute cutaneous lupus erythematosus in a patient with metastatic melanoma.JAAD Case Rep. 2021; 15: 88-91
- Pathophysiology of cutaneous lupus erythematosus.Arthritis Res Ther. 2015; 17: 182
- Systemic disease in subacute cutaneous lupus erythematosus: a controlled comparison with systemic lupus erythematosus.J Rheumatol. 1994; 21: 1665-1669
- Guideline for the diagnosis, treatment and long-term management of cutaneous lupus erythematosus.J Autoimmun. 2021; 123102707
- The cutaneous pathology of lupus erythematosus: a review.J Cutan Pathol. 2001; 28: 1-23
- Cutaneous lupus erythematosus: diagnosis and treatment.Best Pract Res Clin Rheumatol. 2013; 27: 391-404
- Cosmetic treatment in patients with autoimmune connective tissue diseases: best practices for patients with lupus erythematosus.J Am Acad Dermatol. 2020; 83: 343-363
- Cutaneous lupus erythematosus: an update.Indian Dermatol Online J. 2014; 5: 7-13
- Lupus erythematosus gyratus repens. Report of a case associated with a lung carcinoma.Clin Exp Dermatol. 1982; 7: 129-134
- Subacute cutaneous lupus erythematosus associated with breast carcinoma.J Am Acad Dermatol. 1988; 19: 406-408
- Metastatic malignant melanoma arising from a common blue nevus in a patient with subacute cutaneous lupus erythematosus.Dermatologica. 1989; 178: 171-175
- Subacute cutaneous lupus erythematosus-like gyrate erythema and hypertrichosis lanuginosa acquisita associated with uterine adenocarcinoma.Br J Dermatol. 1992; 127: 443-444
- Subacute cutaneous lupus erythematosus associated with Hodgkin's disease.Clin Rheumatol. 1995; 14: 692-694
- Paraneoplastic subacute cutaneous lupus erythematosus: report of a case associated with cancer of the lung.Dermatology. 1997; 194: 172-174
- Subacute cutaneous lupus erythematosus associated with hepatocellular carcinoma.Australas J Dermatol. 2001; 42: 110-113
- Association between subacute cutaneous lupus erythematosus and epidermoid carcinoma of the lung: a paraneoplastic phenomenon?.Clin Exp Dermatol. 2002; 27: 717-718
- Subacute cutaneous lupus erythematosus: a paraneoplastic dermatosis?.Clin Exp Dermatol. 2005; 30: 655-658
- Subacute lupus erythematosus-like rash associated with oesophageal adenocarcinoma in situ.Clin Exp Dermatol. 2007; 32: 443-445
- Paraneoplastic toxic epidermal necrolysis-like subacute cutaneous lupus erythematosus.Clin Exp Dermatol. 2010; 35: 455-456
- Subacute cutaneous lupus erythematosus associated with breast carcinoma.Clin Exp Dermatol. 2009; 34: e480-e481
- SCLE: a paraneoplastic presentation.BMJ. 2014; 348: g2521
- Lupus-like eruption as the presenting sign of acute myeloblastic leukemia.Lupus. 2016; 25: 312-314
- Subacute cutaneous lupus erythematosus: a paraneoplastic phenomenon in oropharyngeal squamous cell carcinoma.Clin Exp Dermatol. 2015; 40: 335-337
- Unusual paraneoplastic presentation of cholangiocarcinoma.Case Rep Med. 2015; 2015806835
- First case of paraneoplastic subacute cutaneous lupus erythematosus associated with colon cancer.Joint Bone Spine. 2017; 84: 631-633
- Paraneoplastic subacute cutaneous lupus erythematosus associated with cholangiocarcinoma.Australas J Dermatol. 2016; 57: e5-e7
- A case of paraneoplastic subacute cutaneous lupus erythematosus.J Am Acad D Dermatol. 2016; 74: AB78
- Subacute cutaneous lupus erythematosus - paraneoplastic to gastric adenocarcinoma?.Wien Klin Wochenschr. 2017; 129: 444-445
- Toxic epidermal necrolysis-like subacute cutaneous lupus erythematosus associated with lung carcinoma.BMJ Case Rep. 2019; 12e231152
- Subacute cutaneous lupus erythematosus with a possible paraneoplastic association with melanoma.BMJ Case Rep. 2019; 12e230558
- Metastatic prostate cancer presenting as subacute cutaneous lupus erythematosus.Australas J Dermatol. 2020; 61: e113-e114
- Three cases of subacute cutaneous lupus erythematosus associated with malignancy: a late paraneoplastic phenomenon.Clin Exp Dermatol. 2020; 45: 607-608
- Pancreatic adenocarcinoma presenting as subacute cutaneous lupus, tripe palms and acanthosis nigricans maligna.Australas J Dermatol. 2021; 62: e132-e133
- Paraneoplastischer subakut kutaner Lupus erythematodes [Paraneoplastic subacute cutaneous lupus erythematosus].Z Rheumatol. 2021; 80 ([in German]): 189-193
- Subacute cutaneous lupus erythematosus: a paraneoplastic dermatosis in breast carcinoma?.Turk J Oncol. 2021; 36: 121-124
- Paraneoplastic subacute cutaneous lupus erythematosus with mucositis.JAAD Case Rep. 2022; 22: 38-41
- Subacute cutaneous lupus as a paraneoplastic manifestation of non-hodgkin lymphoma.J Investig Med High Impact Case Rep. 2022; 10 (23247096211063066)
- Cutaneous manifestations of internal malignancies: an overview.Dermatol Clin. 2008; 26: 1-15
- Paraneoplastic cutaneous manifestations: concepts and updates.An Bras Dermatol. 2013; 88: 9-22
- A serology-based approach combined with clinical examination of 125 Ro/SSA-positive patients to define incidence and prevalence of subacute cutaneous lupus erythematosus.Arthritis Rheum. 2007; 56: 255-264
- Incidence of cutaneous lupus erythematosus, 1965-2005: a population-based study.Arch Dermatol. 2009; 145: 249-253
- Topical drug-induced subacute cutaneous lupus erythematosus isolated to the hands.Lupus Sci Med. 2017; 4e000207
Article info
Publication history
Published online: July 27, 2022
Edited by Lazar Andrada-LucianaIdentification
Copyright
© 2022 Elsevier Inc. All rights reserved.