Erythema multiforme-like skin lesions in a patient with systemic lupus erythematosus
Journal
Global Dermatology
Date Issued
2014
Author(s)
Gocev, Gjorgji
Gucev, Filip
Osmani, Bashkim
DOI
10.15761/god.1000105
Abstract
We describe here a 17-year-old girl with a history of systemic lupus erythematosus presenting two episodes of erythema multiforme-like eruptions. A biopsy specimen showed superficial lymphocytic perivascular infiltrate, vacuolar alterations of the basal cells, and individual necrotic keratinocytes, which was consistent with erythema multiforme. These findings are most compatible with a diagnosis of Rowell syndrome. We also discuss the diagnostic difficulties in lupus patients developing bullous skin lesions