Rowell's syndrome is a controversial association between lupus erythematosus (LE) and erythema multiforme (EM). A case of this syndrome in a 33-year old woman is reported. This patient showed 'butterfly', facial erythema and erythema multiforme-like lesions on the limbs; Ro(SSA) and La(SSB) antibodies were detected in her serum; leukopenia with lymphopenia and false-positive serology for syphilis were present. The ARA criteria for diagnosis of systemic lupus erythematosus were thus met. Recovery followed a course with systemic corticosteroids and suspension of oral contraceptives. The nosology of Rowell's syndrome is discussed. According to us every patient with Rowell's syndrome should in practice be classified into one of three categories, i.e. LE + fortuitely associated 'true' EM (e.g. drug-induced); LE + lupus-induced EM; LE with lupic skin lesions mimicking EM patterns. Indeed, in the light of the data in the literature on Rowell's syndrome none of these nosologic possibilities should be excluded, although it seems likely that most of these cases are distinctive presentations of subacute cutaneous lupus erythematosus.
|Translated title of the contribution||The nosological position of Rowell's syndrome: A case report|
|Number of pages||4|
|Journal||Annali Italiani di Dermatologia Clinica e Sperimentale|
|Publication status||Published - 1997|
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