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Image Number 4941 (Systemic lupus erythematosus)


Diagnosis: Systemic lupus erythematosus

Site: Face

Sex: F

Age: 16


Description: Erythematous macules

Submitted by: Ted Rosen

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Differential Diagnosis


6 year-old avid tennis player suddenly developed "rash" on face every time she played outdoors. Eruption faded some if she stayed indoor for a week. Also developed acutely arthralgia and anorexia. Double stranded DNA antibody positive, ANA positive titer 1:512. Mild proteinura. Patient started on antimalarial and advised strict photoprotection.

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