조태호 ( Tae Ho Cho ) , 조희령 ( Hee Ryung Cho ) , 정기헌 ( Ki Heon Jeong ) , 허충림 ( Choong Rim Haw )
대한피부과학회 , 대한피부과학회지 | 45권 7호
We present a case of annular polycylic type of subacute lupus erythematosus which fulfilled the criteria of systemic lupus erythematosus and was associated with protein losing enteropathy. A 37-year-old male had erythematous annular rashes with several painful, scattered ulcers and a generalized edematous appearance. Abnormal laboratory findings were hypoalbuminemia, low complement, positive Anti-Ro, La, and ANA in a speckled pattern. Tc-99m human serum albumin scintigraphy revealed extravasation within the small bowel. The histopathologic findings showed vacuolar degeneration, upper dermal edema and cleft with perivascular lymphocytic infiltration. Direct IF revealed granular deposition of IgG along the dermo-epidermal junction. The patient was treated with intravenous steroids and oral hydroxychloroquine. (Korean J Dermatol 2007;45(7):735∼738)
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