Fischer Nicole, Geffen Joseph, Spring Mary
Internal Medicine, Nova Southeastern University, Dr. Kiran C. Patel College of Osteopathic Medicine, Ft. Lauderdale, USA.
Internal Medicine, Lake America Family Physicians, Clermont, USA.
Cureus. 2020 Feb 11;12(2):e6946. doi: 10.7759/cureus.6946.
Cutaneous lupus erythematosus (CLE) may occur in association with systemic lupus erythematosus (SLE) or independently of SLE. Among the various subtypes of CLE, acute cutaneous lupus erythematosus (ACLE) has the highest rate of occurrence in association with SLE rather than independently; thus, if a patient presents with ACLE, a workup for SLE should be performed if not already diagnosed. In this case, we present a 52-year-old female with a past medical history consistent with a diagnosis of SLE (including end-stage renal disease, antiphospholipid syndrome, and seizure disorder); however, the patient went undiagnosed for years. Thus, when she presented with an unusual presentation of ACLE, the diagnosis was initially overlooked.
皮肤型红斑狼疮（CLE）可能与系统性红斑狼疮（SLE）相关联，也可能独立于SLE出现。在CLE的各种亚型中，急性皮肤型红斑狼疮（ACLE）与SLE相关的发生率最高，而非独立发生；因此，如果患者出现ACLE，若尚未确诊SLE，则应进行相关检查。在此病例中，我们报告一名52岁女性，其既往病史符合SLE诊断（包括终末期肾病、抗磷脂综合征和癫痫障碍）；然而，该患者多年来一直未被诊断。因此，当她出现不寻常的ACLE表现时，最初诊断被忽视了。
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