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July 1988

Urticarial Vasculitis Progressing to Systemic Lupus Erythematosus

Author Affiliations

From the Department of Medicine, Columbia University College of Physicians and Surgeons, New York, and the Morristown (NJ) Memorial Hospital.

Arch Dermatol. 1988;124(7):1088-1090. doi:10.1001/archderm.1988.01670070076024

• We encountered a patient with urticarial vasculitis. The lesions were urticarial target-shaped, lasting approximately 48 to 72 hours, accompanied by burning, photophobia, fever, and arthralgia. Initially, all studies for thyroid disease and lupus erythematosus were negative. However, after 20 months of follow-up, the patient developed autoimmune thyroidosis and systemic lupus erythematosus. We describe an unusual progression of this disease.

(Arch Dermatol 1988;124:1088-1090)