A subset of patients with lupus erythematosus develops erythema multiforme-like skin lesions with speckled pattern of antinuclear antibodies, positive rheumatoid factor, anti-Ro (SS-A), and anti-La antibodies (SS-B), which known as Rowell's syndrome. We report an adolescent boy presented with erythema multiforme-like skin lesions and pericardial effusion; he fulfilled criteria of both Rowell's syndrome and systemic lupus erythematosus (SLE). Such initial presentation of SLE is rarely reported in literature.
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King Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, IndiaKing Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, India
Ekbote, Digvijay Gajanan
Kishor, Kriti
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King Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, IndiaKing Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, India
Kishor, Kriti
Sahoo, Rasmi Ranjan
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King Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, IndiaKing Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, India
Sahoo, Rasmi Ranjan
Wakhlu, Anupam
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King Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, IndiaKing Georges Med Univ, Dept Clin Immunol & Rheumatol, Lucknow 226003, Uttar Pradesh, India