Papulonodular mucinosis indicating systemic lupus erythematosus

被引:13
作者
Shekari, A. Mir [1 ]
Ghiasi, M. [1 ]
Ghasemi, E. [1 ]
Kani, Z. Asadi [2 ]
机构
[1] Razi Hosp, Dept Dermatol, Iehran, Iran
[2] Danesh Lab, Dept Pathol, Tehran, Iran
关键词
NODULAR MUCINOSIS; SIGN;
D O I
10.1111/j.1365-2230.2009.03235.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
We describe an 18-year-old girl with systemic lupus erythematosus (SLE) who had cutaneous papulonodular mucinosis (PNM) as the first sign of SLE. She presented with multiple flesh-coloured papules on the face, abdomen and limbs. Histological examination of a biopsy taken from a papule showed diffuse deposition of mucin throughout the dermis, and direct immunofluorescence of lesional skin showed a dermoepidermal junction band composed of IgG, IgM and C3, consistent with PNM. Investigations showed that that the patient had leucopenia, positive antinuclear and anti-double-stranded DNA antibodies and lupus nephritis. PMN can be an unusual clinical presentation of SLE.
引用
收藏
页码:E558 / E560
页数:3
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