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A 33 year old woman attended the rheumatology clinic for assessment of her cutaneous lupus. The diagnosis of cutaneous lupus had been made by her dermatologist five years beforehand; this was confirmed by biopsy. She subsequently developed a positive anti-DNA antibody at low titres, with negative extractable nuclear antigen, but had no other clinical symptoms of systemic lupus.
The figure shows one of several active cutaneous lupus lesions overlying a butterfly tattoo, which had predated any of her symptoms.
Photograph by IM Chalmers, University of Manitoba, RR149, 800 Sherbrook Street, Winnipeg, MB Canada R3A 1M4. Tel. 204 787 2208.
Series editor: Gary D Wright
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