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KMID : 0363220070450070735
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Korean Journal of Dermatology
2007 Volume.45 No. 7 p.735 ~ p.738
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A Case of Annular Polycyclic Type of Subacute CutaneousLupus Erythematosus with Protein Losing Enteropathy.
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Cho Tae-Ho
Cho Hee-Ryung
Jeong Ki-Heon
Haw Choong-Rim
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Abstract
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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.
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KEYWORD
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Annular type, Protein losing enteropathy, Subacute cutaneous Lupus erythematosus
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