Acute Cutaneous Lupus Erythematosus
Butterfly malar rash.
This 26 year old male patient came to our attention in February 1994 with
a recent onset of
SLE: a few months earlier he had started to suffer from
photosensitive cutaneous eruptions
with malar rash, arthralgia, stiffness and
constitutional symptoms (weakness and low-grade
He received only short cycles of NSAID treatment until November when
laboratory examinations revealed significant proteinuria, lymphopenia,
complement consumption and increased immunoglobulin levels.
A few days before admission to our Department, a peculiar erythematous
eruption appeared on the face with an irregular shape extending from the malar
area to the cheeks.
High titers of antinuclear autoantibodies, anti-nRNP and anti-SS-A
autoantibodies were found and a renal biopsy revealed a membrano-proliferative
He was therefore treated with high dose
prednisone and plasma-exchange with good results.
All contents copyright of the "On-line Archives of Rheumatology", 1996