Carsuzaa F, Pierre C, De Jaureguiberry J P, Marlier S, Morand J J, Marrot F
Service de Dermatologie, Hôpital Sainte-Anne, Toulon Naval.
Ann Dermatol Venereol. 1996;123(4):259-61.
Panniculitis is a common manifestation of lupus, but is rarely the first manifestation in systemic lupus erythematosus. We report a case associated with fasciitis.
A 67-year-old man was hospitalized for fever, pleuropericarditis, subcutaneous diffuse infiltration of the two thighs and the abdomen due to panniculitis and lupic fasciitis. Antiphospholipid antibody test was positive. There was non antiphospholipid syndrome.
Panniculitis can occur simultaneously or a few months or years before systemic lupus erythematosus. An association with fasciitis should be entertained whenever the cutaneous involvement is extensive and firm. In such a situation, deep biopsies are indicated. Observations of further cases will help identify the role of general steroid therapy in fasciitis-panniculitis and systemic lupus erythematosus.
脂膜炎是狼疮的常见表现，但很少是系统性红斑狼疮的首发表现。我们报告一例与筋膜炎相关的病例。
一名67岁男性因发热、胸膜炎心包炎、脂膜炎和狼疮性筋膜炎导致双大腿和腹部皮下弥漫性浸润而住院。抗磷脂抗体检测呈阳性。无抗磷脂综合征。
脂膜炎可在系统性红斑狼疮之前同时出现，或在数月或数年前出现。每当皮肤受累广泛且质地坚硬时，应考虑与筋膜炎有关。在这种情况下，需要进行深部活检。对更多病例的观察将有助于确定全身类固醇治疗在筋膜炎 - 脂膜炎和系统性红斑狼疮中的作用。
