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Image Number 1627 (Systemic lupus erythematosus)

Photosensitive distribution

Diagnosis: Systemic lupus erythematosus

Site: Face

Sex: F

Age: 65


Description: Erythematous butterfly rash.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: An old woman presented with red scaly photosensitive dermatitis in the butterfly area of the face, arthritis and vasculitic ulcers involved the fingertips and the dorsum of one foot of many months duration. She had positive ANA and anti ds-DNA antibody, abnormally high ESR and proteinurea.

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