SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD; LORI D. PROK, MD
A 31-year-old African American woman presented with a 2-week history of a pruritic, edematous, linear cord over her posterior trunk. She also had a serpiginous eruption over her right breast that was progressing in a medial direction, leaving postinflammatory hyperpigmentation. Her medical history was notable for systemic lupus erythematosus for over 5 years. She had previously been treated with methotrexate, hydroxychloroquine, and intermittent prednisone. She was recently tapered off her steroid regimen while attempting to become pregnant.
Wong HK, Kaffenberger BH, Zirwas M. A Palpable Erythematous Cord Over the Trunk in a Patient With Systemic Lupus Erythematosus—Quiz Case. JAMA Dermatol. 2013;149(5):609-614. doi:10.1001/jamadermatol.2013.2647a