Bulgarian patient with Rowell syndrome!

Abstract

We present a 47 year-old woman with histologically and serologically confirmed subacute cutaneous lupus erythematosus since 2009. The initial clinical appearance of the lesions was that of polycyclic and monocyclic annular plaques, located on the face, trunk and extremities (Figs 1a, 1b). The patient was initially treated with oral chloroquine phosphate 250mg/daily in combination with 40 mg intravenous methylprednisolone, leading to control of the disease, and subsequently tapered until a maintenance oral dose of 4 mg over time.