This mildly pruritic rash appeared in late August on the upper back of a 58-year-old woman previously diagnosed with Sjgren syndrome. She had not started any new medications, nor was she taking photo-sensitizing drugs.
The diagnosis: Subacute cutaneous lupus erythematosus.
SCLE is commonly associated with Sjgren syndrome. What is unusual about this woman's presentation?
Where do papules normally appear with SCLE, and what locations are generally spared?
What medications are used to treat it?
For the answers, read: Subacute Cutaneous Lupus Erythematosus