Subacute cutaneous lupus erythematosus.
A 31-year-old female soldier developed subacute cutaneous lupus erythematosus, which remained undiagnosed for 4 years. Referral to dermatology and a punch biopsy confirmed the diagnosis and effective treatment was instituted. The presence of an unresolving annular rash in light-exposed areas, especially in a young woman, should prompt thorough investigation and referral if necessary. The prognosis for this condition is generally good, although a small proportion of patients will go on to develop systemic lupus erythematosus. The occupational implications of this condition require thoughtful management in the military population.
Sickbay, Stonehouse Barracks, Medical Centre, Plymouth, UK.
Jacqueline
J
Furzeland
Department of Cellular and Anatomical Pathology, Derriford Hospital, Plymouth, UK.
P
P
Malcolm
D000328:Adult; D001706:Biopsy; D057210:Delayed Diagnosis; D003880:Dermatology; D005260:Female; D058005:General Practitioners; D006801:Humans; D008178:Lupus Erythematosus, Cutaneous / Q000175:diagnosis* / Q000473:pathology; D008889:Military Personnel; D012017:Referral and Consultation; D012867:Skin / Q000473:pathology
RHEUMATOLOGY