Department of Pediatric Medicine, North Bengal Medical College and Hospital, Darjeeling, India.
Rheumatol Int. 2013 Apr;33(4):1075-7. doi: 10.1007/s00296-010-1623-y. Epub 2010 Dec 9.
A subset of patients with lupus erythematosus develops erythema multiforme-like skin lesions with speckled pattern of antinuclear antibodies, positive rheumatoid factor, anti-Ro (SS-A), and anti-La antibodies (SS-B), which known as Rowell's syndrome. We report an adolescent boy presented with erythema multiforme-like skin lesions and pericardial effusion; he fulfilled criteria of both Rowell's syndrome and systemic lupus erythematosus (SLE). Such initial presentation of SLE is rarely reported in literature.
红斑狼疮患者中会有一部分出现多形性红斑样皮损，抗核抗体呈斑点型，类风湿因子阳性，抗 Ro (SS-A) 和抗 La 抗体 (SS-B) 阳性，这种情况被称为罗厄尔综合征。我们报告了一例青少年男性，表现为多形性红斑样皮损和心包积液；他同时符合罗厄尔综合征和系统性红斑狼疮 (SLE) 的诊断标准。这种 SLE 的初始表现很少在文献中报道。
