Shahbaz A Janjua, Jayakar Thomas, Ian McColl.
Lupus Panniculitis involving the parotid/periparotid regions and breast; a rare presentation.
J Ayub Med Coll Abottabad Jan ;16(4):86-8.

A 45-year-old woman presented for the evaluation of her facial disfigurement and abnormal contours of the left upper arm and right breast. She had a twelve-year history of developing multiple nodular swellings over the face, right breast and left arm associated with pain and tenderness. The nodules healed with progressive loss of superficial tissue and subsequent furrowing of the face over a few years. She also complained of multiple joint pains, myalgia and fatigue from the onset of her cutaneous symptoms. Her past medical history was unremarkable and there was no history of fever or Raynaud`s phenomenon. On Clinical examination, her face was hollowed to the contours of her facial bones due to the presence of two large irregular atrophic plaques, one over the right malar area and the other one over the left outer cheek extending onto the parotid/periparotid region. Patchy loss of subcutaneous tissue was also found invoking the outer aspect of left arm and the upper outer quadrant of right breast. The histopathology of the biopsy from the trunk lesions showed a lobular panniculitis with a dense infiltrate of lymphocytes and macrophages. Focal hyalinization of the adipocytes was also evident. Antinuclear antibodies were positive but dsDNA was negative.

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