
Rowell's syndrome in an Indian male and review of the literature
Author(s) -
Bhushan Madke,
Uday Khopkar
Publication year - 2015
Publication title -
indian dermatology online journal
Language(s) - English
Resource type - Journals
eISSN - 2249-5673
pISSN - 2229-5178
DOI - 10.4103/2229-5178.171058
Subject(s) - medicine , erythema multiforme , histopathology , cutaneous lupus erythematosus , dermatology , serology , anti nuclear antibody , erythema , pathology , systemic lupus erythematosus , discoid lupus erythematosus , lupus erythematosus , biopsy , autoantibody , antibody , immunology , disease
Lupus erythematosus (LE) with erythema multiforme-like lesions with its characteristic serological picture had been described in 1963. We report a 33-year-old married male who presented with skin lesions of various morphology on different body parts since four months. The skin lesions ranged from lupus-specific tumid LE to Rowell's syndrome and discoid LE. Histopathology of skin biopsy from all representative sites showed different forms of lupus erythematosus. Antinuclear and anti-double-stranded DNA was positive; however, serology for anti-SSA and anti-SSB was negative. There were no symptoms specific for organ involvement. It is unusual to document various morphological types in a single patient of lupus erythematosus. We document this case as all forms of cutaneous LE including Rowell's syndrome were evident in a single male patient.