PMID- 2256585 OWN - NLM STAT- MEDLINE DCOM- 19910124 LR - 20041117 IS - 0003-410X (Print) IS - 0003-410X (Linking) VI - 141 IP - 5 DP - 1990 TI - Subacute cutaneous lupus erythematosus in Greece. A clinical, serological and genetic study. PG - 421-4 AB - We present herein clinical, serological and genetic findings on 27 Greek, subacute cutaneous lupus erythematosus (SCLE) patients. Twenty-three (85 p. 100) presented with a psoriasifom rash in a photosensitive distribution. Two patients (7.5 p. 100) had an annular rash in a polycyclic pattern. Two other patients exhibited both types of lesions. The majority of our patients also had other skin manifestations, including butterfly rash, discoid lesions and maculopapular rash. Systemic manifestations were: arthralgias or arthritis in 50 p. 100, low grade fever in 35 p. 100, central nervous system involvement in 15 p. 100, Sjogren's syndrome in 18 p. 100 and serositis in 8 p. 100. Anti-nuclear antibodies were found in 93 p. 100; antibodies to Ro (SSA) and/or La (SSB) in 70 p. 100. Twenty-one (78 p. 100) satisfied the ARA criteria for systemic lupus erythematosus (SLE). No HLA-DR3 antigen association was found in the 16 patients tested. These findings are somewhat different from those reported previously: a) the frequency of the psoriasiform rash rather than the annular one is the highest in Greek SCLE patients; b) most patients also have other skin manifestations mimicking the full spectrum of SLE with prominent cutaneous lesions; and c) no HLA-DR3 antigen association was found in Greek patients. Environmental, ethnic or genetic factors may be responsible for these differences. FAU - Drosos, A A AU - Drosos AA AD - Department of Internal Medicine, Medical School, University of Ioannina, Greece. FAU - Dimou, G S AU - Dimou GS FAU - Siamopoulou-Mavridou, A AU - Siamopoulou-Mavridou A FAU - Hatzis, J AU - Hatzis J FAU - Moutsopoulos, H M AU - Moutsopoulos HM LA - eng PT - Journal Article PL - France TA - Ann Med Interne (Paris) JT - Annales de medecine interne JID - 0171744 RN - 0 (Antibodies, Antinuclear) RN - 0 (Autoantibodies) RN - 0 (HLA-DR3 Antigen) SB - IM MH - Adult MH - Antibodies, Antinuclear/analysis MH - Autoantibodies/*analysis MH - Female MH - Greece/epidemiology MH - HLA-DR3 Antigen/analysis MH - Humans MH - Joint Diseases/etiology MH - Lupus Erythematosus, Cutaneous/*epidemiology/genetics/immunology MH - Male MH - Middle Aged MH - Photosensitivity Disorders/etiology EDAT- 1990/01/01 00:00 MHDA- 1990/01/01 00:01 CRDT- 1990/01/01 00:00 PHST- 1990/01/01 00:00 [pubmed] PHST- 1990/01/01 00:01 [medline] PHST- 1990/01/01 00:00 [entrez] PST - ppublish SO - Ann Med Interne (Paris). 1990;141(5):421-4.