Rowell's syndrome.
Rowell's syndrome is the name given to a distinct group of patients with lupus erythematosus who develop erythema multiforme-like lesions and have a characteristic serological picture. We report a case of a 29-year-old woman of Afro-Caribbean origin who presented with an erythema multiforme-like eruption on the hands. Subsequently she developed painful erythematous swellings on the feet and scaly plaques on the forearm and thigh consistent with subacute cutaneous lupus. She developed a positive antinuclear factor and had positive anti-Ro and anti-La antibodies and a positive rheumatoid factor. All of these features are consistent with Rowell's syndrome which we believe is a rare but distinct variant of cutaneous lupus erythematosus.
Child
F J
FJ
St. John's Institute. of Dermatology, St. Thomas' Hospital, London, UK. fionachild@hotmail.com
Kapur
N
N
Creamer
D
D
Kobza Black
A
A
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000974:Antibodies, Antinuclear / Q000032:analysis; D001323:Autoantibodies / Q000032:analysis; D004892:Erythema Multiforme / Q000188:drug therapy / Q000276:immunology*; D005260:Female; D005533:Foot Dermatoses / Q000188:drug therapy / Q000276:immunology*; D006229:Hand Dermatoses / Q000188:drug therapy / Q000276:immunology*; D006801:Humans; D008178:Lupus Erythematosus, Cutaneous / Q000188:drug therapy / Q000276:immunology*; D011239:Prednisolone / Q000627:therapeutic use; D012217:Rheumatoid Factor / Q000032:analysis; D013577:Syndrome
D000893:Anti-Inflammatory Agents; D000974:Antibodies, Antinuclear; D001323:Autoantibodies; D012217:Rheumatoid Factor; D011239:Prednisolone