January 1st, 2026
[8.54 am 01/01/2026] cm: 14 year old girl with multiple DH admissions for the last 2-3 years for fever and recurrent and chronic ulcers over the body for 6-7 months. Ulcers are located over the back, knees, buttock and elbow (bilaterally). She had contractures in b/l knee joint with some swelling but no tenderness/redness, had severe undernutrition and is bed bound. her DH report showed some increased LFTs. She was labelled as SLE and started on steroids in DH. Her steroids were stopped as she developed severe sepsis due to bed sore and the cause was not identified so we stopped medicines to see the symptom evolution. She came last week and had new skin lesions over left shoulder and pain and swelling over shoulder and ankle joint.
Hb 9 g/dl, TLC 9980, DLC-P90, L8, M2, Creatinine 0.4, SGOT/PT42/63, Serum protein/albumin- 6.6/2.9, CRP2.39 mg/dl, ANA, ANCA, anti CCP- negative, viral markers- negative, Thyroid function test- Normal, CXR- Normal
[8.54 am, 01/01/2026] cm: Looks like lupus vasculitis.
The prevalence of ANA-negative SLE is very low, but it exists, particularly under the influence of prolonged use of glucocorticoids or immunosuppressants.
Sharing one of our patients of lupus cutaneous vasculitis below:
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