J Korean Rheum Assoc.  2005 Jun;12(2):149-153.

A Case of Systemic Lupus Erythematosus Presenting with Fat Necrosis of the Breast

Affiliations
  • 1Departments of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. ysong@snu.ac.kr
  • 2Departments of Pathology, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Although systemic lupus erythematosus (SLE) is a chronic inflammatory multi-system disease characterized by protean manifestations, there were a few reports of breast involvement in patients with SLE. Histopathologically, most cases show lupus panniculitis. We report a 26-year-old female patient with SLE presenting with breast fat necrosis and biopsy revealed lymphocytic leukocytoclastic vasculitis and subacute cutaneous lupus erythematosus, rather then lupus panniculitis. Patient received hydroxychloroquine and prednisolone with an improvement of breast necrosis.

Keyword

Systemic lupus erythematosus; Breast; Vasculitis

MeSH Terms

Adult
Biopsy
Breast*
Fat Necrosis*
Female
Humans
Hydroxychloroquine
Lupus Erythematosus, Cutaneous
Lupus Erythematosus, Systemic*
Necrosis
Panniculitis, Lupus Erythematosus
Prednisolone
Vasculitis
Hydroxychloroquine
Prednisolone
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