title: Toxic epidermal necrolysis-like subacute cutaneous lupus erythematosus.
abstract: Toxic epidermal necrolysis (TEN)-like presentations have been described in non-drug-induced settings. We describe a case of subacute cutaneous lupus erythematosus (SCLE) in a 53-year old woman, which evolved into a TEN-like presentation over the course of 4 weeks. The patient responded rapidly to treatment with intravenous methylprednisolone. This article draws attention to features that may be used to differentiate classical TEN from TEN-like SCLE.
authors.affiliation: Department of Dermatology, Flinders Medical Centre, Adelaide, SA 5000, Australia. emma.ryan@health.sa.gov.au
authors.forename: Emma
authors.initials: E
authors.lastname: Ryan
authors.forename: Gillian
authors.initials: G
authors.lastname: Marshman
authors.forename: David
authors.initials: D
authors.lastname: Astill
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008178:Lupus Erythematosus, Cutaneous / Q000150:complications* / Q000188:drug therapy; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D013262:Stevens-Johnson Syndrome / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone