Furzeland Jacqueline, Malcolm P
Sickbay, Stonehouse Barracks, Medical Centre, Plymouth, UK.
Department of Cellular and Anatomical Pathology, Derriford Hospital, Plymouth, UK.
J R Army Med Corps. 2017 Apr;163(2):149-151. doi: 10.1136/jramc-2015-000566. Epub 2016 Jun 9.
A 31-year-old female soldier developed subacute cutaneous lupus erythematosus, which remained undiagnosed for 4 years. Referral to dermatology and a punch biopsy confirmed the diagnosis and effective treatment was instituted. The presence of an unresolving annular rash in light-exposed areas, especially in a young woman, should prompt thorough investigation and referral if necessary. The prognosis for this condition is generally good, although a small proportion of patients will go on to develop systemic lupus erythematosus. The occupational implications of this condition require thoughtful management in the military population.
一名31岁的女兵患上了亚急性皮肤型红斑狼疮，4年来一直未被诊断出来。转诊至皮肤科并进行了打孔活检后确诊，并开始了有效治疗。如果在暴露于阳光下的部位出现持续不消退的环状皮疹，尤其是在年轻女性中，应促使进行全面检查，必要时进行转诊。这种疾病的预后通常良好，不过一小部分患者会继而发展为系统性红斑狼疮。这种疾病对职业的影响需要在军人中进行审慎管理。
