DIGITAL GANGRENE AS THE INITIAL PRESENTATION OF SYSTEMIC LUPUS ERYTHEMATOSUS WITHOUT SECONDARY ANTIPHOSPHOLIPID SYNDROME: CASE REPORT

Document Type : Original Article

Author

Department of Medicine, college of Medicine, University of Bisha, Bisha City, KSA.

Abstract

This is a case of a 28-year-old female presented with an extensive cutaneous gangrene of her fingers and toes with history of a livedo reticularis rash in both lower limbs. Her work-up showed positive serology for Systemic Lupus Erythematosus (SLE). There were no other symptoms suggestive of SLE. Interestingly, the patient adequately responded to rituximab therapy. Such a case of digital gangrene as the initial presentation of SLE without secondary antiphospholipid syndrome has rarely been reported in the literature.

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