Authors: Ma. Corazon A. Iniego-Rodas, MD, DPDS, Maria Franchesca Quinio, MD, FPDS, DDSP-PDS, Charlene Ang-Tiu, MD, FPDS
INTRODUCTION : Lupus panniculitis (LP) is an unusual type of cutaneous lupus erythematosus (CLE) wherein the cutaneous inflammatory reaction involves primarily the deeper dermis and subcutaneous fat. It is characterized by the appearance of recurrent,
mostly asymptomatic, firm, nodules or plaques, involving the face, upper limbs, and buttocks.
CASE REPORT : In our case, a 30-year-old female presented with a non-tender, non-movable nodule on the left breast, 6 weeks
prior to her admission. She had fever, chills, and joint pains. The patient later developed hyperpigmented plaques on the infraclavicular area, and left flank extending to the abdomen. Urinalysis showed proteinuria, and RBC cast. She also had leukopenia,
and anemia on CBC. Chest computerized tomography (CT) scan revealed a heterogeneously enhancing soft tissue mass in the
base of the neck at the right infraclavicular region with malignant features. ANA titer was normal, while skin biopsy on two sites
and direct immunofluorescence studies were compatible with lupus panniculitis. She was managed as a case of systemic lupus
erythematosus (SLE) using a combination of hydroxychloroquine, and oral corticosteroids, which afforded temporary relief of
symptoms. The patient however was lost to follow-up and opted for alternative medicine, and subsequently succumbed to the
complications of SLE.
CONCLUSION : This case highlights the importance of a carefully made assessment after an accurate clinicopathological correlation was done. This case also emphasizes that although LP if associated with SLE may signify a milder condition, judicious
monitoring and follow-up must still be undertaken since management is based on the disease activity
Chronic cutaneous lupus erythematosus, lupus panniculitis, lupus mastitis
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Syringocystadenoma papilliferum arising from a nevus sebaceus mimicking squamous cell carcinoma in a Filipino female: A case report
Authors: Maria Kristina R. Fajardo, MD, Daisy King-Ismael, MD, FPDS,Bernardita O. Policarpio, MD, FPDSAbstract INTRODUCTION :Syringocystadenoma papilliferum (SCAP) is a relatively rare benign adnexal skin tumor which can manifest in a variety of clinical forms. Nearly...
Drug-induced chronic bullous disease of childhood in a two-year-old Filipino male triggered by cefaclor or cefuroxime: A case report
Authors: Sher Claranza O. Liquido, MD, Maria Jasmin J. Jamora, MD, FPDSAbstract Introduction: N Chronic bullous disease of childhood (CBDC) is a rare immune-mediated subepidermal vesiculobullous eruption, characterized by linear IgA deposition along the basement...
Authors: Erika Kim R. Chan, MD, Charlene Marie U. Ang-Tiu, MD, FPDS, Mary Elizabeth S. Danga, MD, FPDS, Michael Jeff B. Fontano, MD, DPBSAbstract INTRODUCTION : Angiosarcoma is a rare head and neck sarcoma of vascular endothelial cell origin. We report a case of...