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Updated: Feb 26, 2026

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
[Extensive digital gangrene revealing late-onset systemic lupus erythematosus]
F Z Ha-Ou-Nou1, M Zahlane1, L Benjilali1
1Service de médecine interne, hôpital ARRAZI, centre hospitalier universitaire Mohammed VI, avenue Ibn Sina Amerchich, 2360 Marrakech, Maroc.
Introduction:
Late-onset systemic lupus erythematosus represents a specific sub-group of the disorder, beginning after 50 years of age. The incidence is rarer and the course of the disease is considered to be more benign. Digital gangrene is an uncommon complication of systemic lupus erythematosus reported especially among middle-aged patients with long disease duration.
Observation:
We report a 53-year-old man, who presented with systemic lupus erythematosus revealed by an extensive digital gangrene.
Conclusion:
Digital gangrene is a rare complication of late onset systemic lupus erythematosus. Clinicians should be aware of this complication in order to initiate early and aggressive treatment.
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