PMID- 15125497 OWN - NLM STAT- MEDLINE DCOM- 20040610 LR - 20190723 IS - 0011-9059 (Print) IS - 0011-9059 (Linking) VI - 43 IP - 2 DP - 2004 Feb TI - Lupus erythematosus induced by medications, ultraviolet radiation, and other exogenous agents: a review, with special focus on the development of subacute cutaneous lupus erythematosus in a genetically predisposed individual. PG - 87-94 AB - Exogenous agents implicated in or suspected of precipitating subacute cutaneous lupus erythematosus (SCLE) and lupus erythematosus (LE) are reviewed. An illustrative case of environmentally induced SCLE is presented. A previously healthy 30-year male homozygous for the tumor necrosis factor-alpha (TNF-alpha) 308. A promoter allele developed SCLE after spending several hours removing fertilizer- and pesticide-containing hay from an agricultural barn in the springtime. The cutaneous eruption soon resolved, only to reappear 3 weeks later on the day the patient re-entered the barn. An environmental agent present in the barn, coupled with springtime ultraviolet light, likely triggered the disease in this immunogenetically susceptible individual. FAU - Shapiro, Michael AU - Shapiro M AD - Department of Dermatology, University of Pennsylvania Health System, Philadelphia V.A. Hospital, Philadelphia, PA 19104, USA. FAU - Sosis, Arthur C AU - Sosis AC FAU - Junkins-Hopkins, Jacqueline M AU - Junkins-Hopkins JM FAU - Werth, Victoria P AU - Werth VP LA - eng PT - Case Reports PT - Journal Article PT - Review PL - England TA - Int J Dermatol JT - International journal of dermatology JID - 0243704 RN - 0 (Insecticides) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Biopsy, Needle MH - Drug-Related Side Effects and Adverse Reactions MH - Environmental Exposure/*adverse effects MH - Follow-Up Studies MH - *Genetic Predisposition to Disease MH - Humans MH - Immunohistochemistry MH - Insecticides/*adverse effects MH - Lupus Erythematosus, Cutaneous/*chemically induced/*genetics/pathology MH - Male MH - Risk Assessment MH - Severity of Illness Index MH - Tumor Necrosis Factor-alpha/genetics MH - Ultraviolet Rays/adverse effects RF - 96 EDAT- 2004/05/06 05:00 MHDA- 2004/06/21 10:00 CRDT- 2004/05/06 05:00 PHST- 2004/05/06 05:00 [pubmed] PHST- 2004/06/21 10:00 [medline] PHST- 2004/05/06 05:00 [entrez] AID - 10.1111/j.1365-4632.2004.02013.x [doi] PST - ppublish SO - Int J Dermatol. 2004 Feb;43(2):87-94. doi: 10.1111/j.1365-4632.2004.02013.x.