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March 2006

Coarse Calcifications by Mammography in Lupus Mastitis

Arch Dermatol. 2006;142(3):393-403. doi:10.1001/archderm.142.3.398

A 30-year-old woman was referred with right breast pain and tenderness of recent onset with a likely diagnosis of inflammatory breast carcinoma. Eleven years ago she had developed the cutaneous lesions of the hands, forehead, cheeks, and ears that often accompany discoid lupus erythematosus; these lesions were treated with hydroxychloroquine, topical betamethasone cream, and thalidomide. Within the last 12 months, she developed multiple inflammatory episodes of the right breast while receiving hydroxychloroquine; she was treated with prednisolone because of a presumptive diagnosis of lupus mastitis.