Late onset systemic lupus erythematosus with lichen planus-like eruption and cardiac tamponade

A 71-year-old Japanese woman is reported as a case of late onset systemic lupus erythematosus (SLE) with lichen planus (LP)-like eruption and cardiac tamponade. As an initial symptom, our patient had cutaneous lesions clinically and histologically resembling LP, and then the passage of time allowed...

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Bibliographic Details
Published inEJD. European journal of dermatology Vol. 10; no. 8; p. 620
Main Authors Koga, T, Kubota, Y, Kiryu, H, Nakayama, J, Takeda, S, Kono, K
Format Journal Article
LanguageEnglish
Published France 01.12.2000
Subjects
Age Factors
Aged
Biopsy, Needle
Cardiac Tamponade - complications
Cardiac Tamponade - diagnosis
Cardiac Tamponade - drug therapy
Drug Therapy, Combination
Female
Follow-Up Studies
Humans
Lichen Planus - diagnosis
Lichen Planus - pathology
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - drug therapy
Lupus Erythematosus, Systemic - pathology
Pericarditis - complications
Pericarditis - diagnosis
Pericarditis - drug therapy
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Summary:A 71-year-old Japanese woman is reported as a case of late onset systemic lupus erythematosus (SLE) with lichen planus (LP)-like eruption and cardiac tamponade. As an initial symptom, our patient had cutaneous lesions clinically and histologically resembling LP, and then the passage of time allowed for the development of additional criteria (lymphopenia, pericarditis) until the diagnosis of SLE could be made. Our case suggests that LP-like eruptions may be one of the unusual variations of late onset SLE and elderly patients with LP-like eruptions should be carefully followed until a final diagnosis can be clearly made.
ISSN:1167-1122