Acute Cutaneous Lupus Erythematosus

Butterfly malar rash.

Clinical Background:

This 19 year old patient complained of a recent onset of malar rash during the summer holidays accompanied by arthralgia and constitutional symptoms (fever, weakness and malaise).
When she came to our Department 2 months after onset, she had malar rash, widespread ACLE lesions on the upper trunk and arms, oral ulcers , vasculitic lesions on the palmar surface of the fingers , superficial lymphadenopathy, splenomegaly, high titers of antinuclear and anti-nDNA autoantibodies.
She was effectively treated with hydroxychloroquine 200mg/d and prednisone 25 mg/d.