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April 1982

Repeated Skin Infections as a Manifestation of Lupus Erythematosus

Author Affiliations

Genoa, Italy

Arch Dermatol. 1982;118(4):213-214. doi:10.1001/archderm.1982.01650160003001

To the Editor.—Report of a Case.—  A 50-year-old woman was first seen by us in July 1977 with an eight-year history of pyodermas and urticarial-type eruptions with slight fever. On physical examination, she displayed a scalp folliculitis and a furuncle on one finger. Coagulase-positive staphylococci were cultivated from the lesions. Fasting and postprandial blood glucose levels, as well as erythrocyte and leukocyte levels, were normal.The patient's antistaphylolysin titer was elevated (2 IU/mL; normal, ≥ 1 IU/mL). Quantitative IgA and IgE levels were 650 mg/dL (normal, 120 to 140 mg/dL) and 800 μg/mL (normal, 50 to 100 μg/mL), respectively. Complement C3 and C4 levels were normal.The E rosette count of 30% (normal, 50% to 70%) and the stimulating indexes for phytohemagglutinin (17 cpm; normal, > 80 cpm) and concanavalin A (6 cpm; normal, > 20 cpm) indicated defective cell-mediated immunity.There was a slight decrease in neutrophil chemotaxis and

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