Atypical facial rash in systemic lupus erythematosus

Abstract

This woman in her early 30s with an 11 year history of systemic lupus erythematosus (SLE) experienced a sudden disease flare-up with symptoms of SLE encephalopathy. She was treated with methylprednisolone (500 mg daily for three days, then reduced to 40 mg daily), hydroxychloroquine (200 mg orally twice daily), and …