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Cutaneous Leukocytoclastic Vasculitis as the Presenting Sign of Systemic Lupus Erythematosus

Published:December 07, 2022DOI:https://doi.org/10.1016/j.amjmed.2022.11.008
      Cutaneous involvement occurs in 72-85% of cases of systemic lupus erythematosus and may be the first clinical sign in up to 25% of cases.
      • Chottawornsak N
      • Rodsaward P
      • Suwannachote S
      • et al.
      Skin signs in juvenile- and adult-onset systemic lupus erythematosus: clues to different systemic involvement.
      Recognizing these cutaneous manifestations is essential to early diagnosis and management.
      • Chottawornsak N
      • Rodsaward P
      • Suwannachote S
      • et al.
      Skin signs in juvenile- and adult-onset systemic lupus erythematosus: clues to different systemic involvement.
      Here, we present a case of systemic lupus erythematosus with cutaneous leukocytoclastic vasculitis—rare presenting sign of systemic lupus erythematosus
      • Kallas R
      • Goldman D
      • Petri MA.
      Cutaneous vasculitis in SLE.
      —as the initial manifestation to highlight the opportunity for prompt diagnosis and management of systemic lupus erythematosus.
      • Barile-Fabris L
      • Hernández-Cabrera MF
      • Barragan-Garfias JA.
      Vasculitis in systemic lupus erythematosus.

      Keywords

      Abbreviation:

      EULAR (European Alliance of Associations for Rheumatology), ACR (American College of Rheumatology), SLEDAI (Systemic Lupus Erythematosus Disease Activity Index)
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