[Panniculitis-fasciitis syndrome disclosing systemic erythematous lupus].
BACKGROUND
Panniculitis is a common manifestation of lupus, but is rarely the first manifestation in systemic lupus erythematosus. We report a case associated with fasciitis.


METHODS
A 67-year-old man was hospitalized for fever, pleuropericarditis, subcutaneous diffuse infiltration of the two thighs and the abdomen due to panniculitis and lupic fasciitis. Antiphospholipid antibody test was positive. There was non antiphospholipid syndrome.


CONCLUSIONS
Panniculitis can occur simultaneously or a few months or years before systemic lupus erythematosus. An association with fasciitis should be entertained whenever the cutaneous involvement is extensive and firm. In such a situation, deep biopsies are indicated. Observations of further cases will help identify the role of general steroid therapy in fasciitis-panniculitis and systemic lupus erythematosus.
Carsuzaa
F
F
Service de Dermatologie, Hôpital Sainte-Anne, Toulon Naval.
Pierre
C
C
De Jaureguiberry
J P
JP
Marlier
S
S
Morand
J J
JJ
Marrot
F
F
D000368:Aged; D005208:Fasciitis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007136:Immunoglobulins / Q000302:isolation & purification; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000473:pathology; D008297:Male; D015435:Panniculitis, Lupus Erythematosus / Q000209:etiology* / Q000473:pathology; D010998:Pleurisy / Q000209:etiology
D007136:Immunoglobulins; C019158:circulating anticoagulants
Syndrome panniculite-fasciite révélant un lupus érythémateux systémique.