Palisaded neutrophilic granulomatous dermatitis in systemic lupus erythematosus with a butterfly rash-like lesion.

摘要

A 31-year-old female presented with a relapsing fever of 39 deg C and a rash of one week's duration after sun-exposure. She had no history of medication. She displayed a butterfly rash-like lesion with infiltrated, ery-thematous plaques and papulosquamous lesions that were symmetrically distributed around the nose (figure 1A). She also presented with erythematous maculopapular lesions and plaques, which were symmetrically distributed on the lateral and extensor aspects of her upper arms (figure 1B). Laboratory investigations revealed an elevated anti-SSA/Ro antibody titer of 31.4 U/mL (normal 0-10). However, other immunological data were normal or negative.