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Published on: July 24, 2017
Lupus mastitis - peculiar radiological and pathological features.
Abdul Majid Wani1, Waleed Mohd Hussain, Mohamed I Fatani
1Department of Radiology, Hera General Hospital, Makkah-10513, Saudi Arabia.
The Indian Journal of Radiology & Imaging
|November 3, 2009
Summary
Lupus mastitis, a breast manifestation of systemic lupus erythematosus, presents as recurrent swellings. Early recognition of its unique features is key to avoiding misdiagnosis and unnecessary procedures.
Area of Science:
- Rheumatology
- Dermatology
- Pathology
Background:
- Lupus mastitis is a rare manifestation of lupus profundus associated with systemic lupus erythematosus (SLE).
- It typically presents as breast masses or swellings, potentially causing pain and progressing with the underlying SLE.
- The condition can mimic malignancy, lymphoma, or tuberculosis, complicating diagnosis.
Observation:
- This article details a specific case of lupus mastitis exhibiting distinctive radiological, pathological, and clinical characteristics.
- The presentation deviated from typical patterns, highlighting the varied clinical spectrum of the disease.
Findings:
- Lupus mastitis involves progressive changes including fat necrosis, calcification, fibrosis, scarring, and breast atrophy.
- Accurate diagnosis is crucial due to the potential for confusion with other breast pathologies.
Implications:
- Increased awareness of lupus mastitis' diverse presentations is essential for clinicians.
- Timely and accurate diagnosis can prevent invasive procedures like biopsies and surgeries, thereby avoiding associated complications.
