Systemic Lupus with Erythema Multiforme–so called Rowell’s Syndrome

Abstract

The combination of lupus erythematosus and erythema multiforme has been grouped as Rowell’s syndrome. Though there are reports of so called ‘Rowell’s syndrome’ (RS) in the literature, recently many authors have questioned the rationale behind regarding Rowell’s syndrome as a separate clinical entity. Nevertheless, we describe a 20 year old female patient with features of systemic lupus erythematosus, lupus nephritis, and erythema multiforme. Laboratory investigations showed speckled antinuclear antibody, positive anti-dsDNA and rheumatoid factor positivity. Skin lesions healed with hyperpigmentation within four weeks of therapy.