A Rare Presentation of Systemic Lupus Erythematosus with Leg Ulcers and Degos-Like Lesions

Abstract

Degos disease (DD) also known as malignant atrophic papulosis was described by Köhlmeier and Degos in 1942. 1 It is a vaso-occlusive disorder affecting skin, central nervous system, and gastrointestinal tract. Degos-like lesions have been reported with many connective tissue diseases (CTD), mainly systemic lupus erythematosus (SLE). 1 Twelve cases of SLE with Degos-like lesions were found on literature search. We describe a case of SLE with leg ulcers and Degos-like lesions, not previously reported. CASE REPORTA 23-year-old male presented with malar rash, photosensitivity, and leg ulcers for 2 years, joint pain and oral ulcers for 4 months, altered sensorium and dyspnea for 10 days. Two months back patient was diagnosed with SLE at another centre, and prescribed hydroxychloroquine (400 mg/day).On examination, patient had tachycardia (124/min), hypotension (80/50 mm of Hg), tachyp-