Laboratory investigation showed leukocytopenia (2.7X10 3/uL), low complement levels (C3 and C4 25.2 and 2.62 mg/dL, respectively) as well as positive Anti Nuclear Antibody (speckled type: 1:1280), anti-sm (298AU/mL) and anti-dsDNA (203.3 WHO units). The color Doppler also revealed increased blood flow. The subcutis was homogenously hyperechoic with cloudy appearance. Ultrasonography (Acuson X150 TM, Siemens Medical Solution USA, Mountain View, CA) demonstrated thickening of dermis and subcutaneous layer (4.4 mm and 16.3 mm, respectively). Physical examination revealed a brownish indurated plaque with peripheral erythema and epidermal atrophy on the posterolateral aspect of her right thigh. Herein, we report a case of sclerodermoid lupus erythematosus panniculitis in which ultrasonography was used to monitor the therapeutic response.Ī 43-year-old woman presented to our clinic with tender thickened skin lesion on the right thigh of 10 months duration. The coexistence of lupus erythematosus panniculitis and localized scleroderma is an extremely rare manifestation. Lupus erythematosus panniculitis is an uncommon cutaneous manifestation of lupus erythematosus.
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