Rowell syndrome secondary to anti-tubercular therapy: A case report and literature review

Amatya, Bibush; Maharjan, Leison

doi:10.7241/ourd.20172.54

Our Dermatol Online

2017

DOI: 10.7241/ourd.20172.54

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Rowell syndrome secondary to anti-tubercular therapy: A case report and literature review

Bibush Amatya¹,

Leison Maharjan²

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2020

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<p>A Case of Rhupus with Rowell Syndrome</p>

Almansouri¹,

Alzahrani²

2020

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We report a case of 30-year-old female who presented initially with hair loss, photosensitive malar rash, morning stiffness and synovitis. She was diagnosed with Rhupus syndrome based on clinical and laboratory findings. Few months after starting hydroxychloroquine, esomeprazole and azathioprine, and failing methotrexate (because of erosive pillinduced esophagitis), she presented with generalized maculopapular dusky reddish rash in her body, back and extremities. Her anti-double stranded-DNA, anti-nuclear antibody, anti-Ro/SSA and anti-La/SSB were positive. Anti-cyclic citrullinated peptide antibody was moderately positive. She had low complements: C3 and C4. Herpes simplex IgM and mycoplasma tested negative. Skin biopsy from right arm showed evidence of erythema multiform. She met the criteria for the diagnosis of Rowell syndrome. We managed her with hydroxychloroquine, prednisolone, mycophenolate mofetil and topical agents and discontinued esomeprazole. We also review the management of Rowell syndrome in the literature.

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<p>A Case of Rhupus with Rowell Syndrome</p>

Almansouri¹,

Alzahrani²

2020

OARRR

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Rowell syndrome secondary to anti-tubercular therapy: A case report and literature review

Cited by 1 publication

References 7 publications

<p>A Case of Rhupus with Rowell Syndrome</p>

<p>A Case of Rhupus with Rowell Syndrome</p>

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