Rowell’s syndrome: A rare presentation of childhood lupus
DOI:
https://doi.org/10.15305/ijrci/v2i1/125Keywords:
Rowells syndrome, childhood SLE, erythema multiforme like lesionsAbstract
A 11-year-old girl presented to the clinic with intermittent fever, multiple erythematous maculopapular lesions (erythema multiforme (EM) like lesions) of targetoid appearance over face, trunk, and limbs (Fig. 1), and a large palatal ulcer (Fig. 2). She was tested positive for ANA by Hep-2 (speckled pattern) and for anti-Ro, anti-nucleosome, anti-histone, and anti-dsDNA antibodies by immunoblot. She had reduced complement levels (C3, C4) and tested negative for rheumatoid factor and viral markers. Further evaluation has concluded that the patient met the diagnostic criteria for Rowell’s syndrome.
References
Rowell NR, Beck NJ, Anderson JR. Lupus erythematosus and erythema multiforme-like lesions.Arch Dermatol1963; 88: 176–80.
Lee S, Schloss E, Kowichi J. Rowell’s syndrome: a case report of subacute cutaneous lupus erythematosus and erythema multiforme. Can J Dermatol 1995; 7: 807–10.
Zeitouni NC, Funaro D, Cloutier RA,et al.RedefiningRowell’s syndrome.Br J Dermatol 2000; 142: 343–6.
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