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Subacute cutaneous lupus erythematosus presenting with generalized poikiloderma
K Pramatarov1, S Vassileva, L Miteva
1Department of Dermatology and Venereology, Alexander's University Hospital, Sofia Faculty of Medicine, Sofia, Bulgaria.
Journal of the American Academy of Dermatology
|January 22, 2000
Abstract:
A 64-year-old woman experienced progressive generalized poikiloderma after an episode of sunburn 4 years earlier. The diagnosis of subacute cutaneous lupus erythematosus (SCLE) was confirmed by the presence of anti-Ro/SS-A and antinuclear antibodies, the histology, and the direct immunofluorescent findings (ie, positive lupus band test and "dust-like" epidermal IgG staining pattern). Poikiloderma has not been previously reported in the spectrum of SCLE. As a major pathomechanism of SCLE, photosensitivity might explain this uncommon clinical manifestation of the disease.