| Rheumatology Case 4 | |
|---|---|
 A
52 year old woman with a long history of photosensitivity and
facial skin rashes treated by a dermatologist presented with proteinuria
and facial skin lesions in a butterfly distribution as shown in
the picture. The differential diagnosis consists of:1. Acute butterfly skin rash of lupus erythematosus 2. Atrophic skin changes due to local corticosteroid treatment 3. Chronic lupus erythematosus with a butterfly appearance 4. Combination of skin lesion due to chronic lupus erythematosus and local treatment with corticosteroids.
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