[Lupus mastitis associated with severe systemic erythematosus lupus].
We report a 46-year-old woman with a systemic lupus erythematosus complicated with a lupus panniculitis. The patient developed initial deep breast nodules secondarily completed by superficial erythematosus and keratotic cutaneous lesions. Neoplasia was ruled out by X-ray and echographic investigations. Both subcutaneous and skin biopsies were consistent with the diagnosis of lupus mastitis. Lupus mastitis is a form of lupus panniculitis seldom associated with systemic lupus. A breast neoplasia should be ruled out by appropriate investigations and deep biopsies. The first-line treatment is based on antimalarial drugs.
Service de dermatologie, CHU Saint-Jacques, 2, place Saint-Jacques, 25030 Besançon cedex, France.
A-R
AR
Guerre
F
F
Pelletier
F
F
Aubin
P
P
Humbert
D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008413:Mastitis / Q000175:diagnosis*; D008875:Middle Aged; D015435:Panniculitis, Lupus Erythematosus / Q000175:diagnosis*; D012720:Severity of Illness Index
Mastite lupique associée à un lupus érythémateux systémique sévère.