Lupus panniculitis: diagnostic difficulties
https://doi.org/10.14412/1996-7012-2019-3-66-70
Abstract
The paper describes a clinical case of a female patient with systemic lupus erythematosus. The features of this case are lobular panniculitis (Pn) con-current with other typical clinical and laboratory signs of the underlying disease, as well as the absence of the effect of previous therapy. The main directions of the differential diagnosis of idiopathic lobular Pn and lupus Pn that required exclusion of other rheumatic diseases are highlighted.
About the Authors
O. N. EgorovaRussian Federation
Olga Nikolaevna Egorova.
34A, Kashirskoe Shosse, Moscow 115522.
N. Yu. Nikishina
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522.
B. S. Belov
Russian Federation
34A, Kashirskoe Shosse, Moscow 115522.
References
1. Verbenko EV. Spontaneous panniculitis. In: Skripkin YuK, editor. Kozhnye i venericheskie bolezni. Rukovodstvo dlya vrachei [Skin and venereal diseases. Guide for doctors]. Moscow: Meditsina; 1995. Vol. 2. P. 399-410.
2. Callen JP, Requena L. Cutaneous vasculitis and panniculitis. In: Hochberg MC, editor. Rheumatology. 6th ed. Philadelphia: Mosby; 2015. P. 1344-53.
3. Wick MR. Panniculitis: а summary. Semin Diagn Pathol. 2017 May;34(3):261-272. doi: 10.1053/j.semdp.2016.12.004. Epub 2016 Dec 27.
4. Hochberg MC. Rheumatology. 7th ed. New York: Elsevier; 2019. 2048 р.
5. Ter Poorten MC, Thiers BH. Panniculitis. Dermatol Clin. 2002 Jul;20(3):421-33, vi.
6. Diaz Cascajo C, Borghi S, Weyers W. Panniculitis: definition of terms and diagnostic strategy. Am J Dermatopathol. 2000 Dec;22(6):530-49.
7. Prieto-Torres L, Alegria-Landa V, Morales-Moya AL, et al. Lupus panniculitis refractory to multiple therapies treated successfully with rituximab: A case report and literature review. Australas J Dermatol. 2018 May;59(2):e159-e160. doi: 10.1111/ajd.12685. Epub 2017 Aug 30.
8. Alekberova ZS, Goloeva RG, Elonakov AV. Behcet's disease in children. Russkii meditsinskii zhurnal. 2006;14(25):1783—5. (In Russ.).
9. Binesh VG, Krishnan J, Asokan N, Ajithkumar K. Systemic sclerosis presenting as lobular panniculitis. Indian Dermatol Online J. 2012 Sep;3(3):222-4. doi: 10.4103/2229-5178.101830.
10. Beketova TV, Nasonov EL. Innovative treatments for Takayasu’s arteritis: a focus on Interleukin-6 inhibitors. the authors’ experience with tocilizumab and a review of literature. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2017;55(5):536—48. (In Russ.). doi: 10.14412/1995-4484-2017-536-548
11. Werth V, Keller C, Dutz J. Skin. In: Lahita R, editor. Systemic lupus erythematosus. 5th ed. Elsevier; 2011. P. 747-68.
12. Bednarek A, Bartoszak L, Samborski W. Case report on a patient with lupus panniculitis. Postepy DermatolAlergol. 2015 Feb;32(1): 59-62. doi: 10.5114/pdia.2014.40958. Epub 2015 Feb 3.
13. Egorova ON, Belov BS, Glukhova SI, Radenska-Lopovok SG. Idiopathic lobular panniculitis in rheumatol-ogy practice: the authors’ own data. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2018;56(3):339—45. (In Russ.). doi: 10.14412/1995-4484-2018-339-345
14. Espirito Santo J, Gomes MF, Gomes MJ, et al. Intravenous immunoglobulin in lupus panniculitis. Clin Rev Allergy Immunol. 2010 Apr;38(2-3):307-18. doi: 10.1007/s12016-009-8162-x.
15. Fraga J, Garcia-Diez А. Lupus erythe-matosus panniculitis. Dermatol Clin. 2008 Oct;26(4):453-63, vi. doi: 10.1016/j.det.2008.06.002.
16. Nasonov EL, editor. Revmatologiya: klinicheskie rekomendatsii [Rheumatology. Clinical guidelines]. Moscow: GEOTAR-Media; 2017. 464 p.
Review
For citations:
Egorova ON, Nikishina NY, Belov BS. Lupus panniculitis: diagnostic difficulties. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2019;13(3):66-70. https://doi.org/10.14412/1996-7012-2019-3-66-70