PMID- 23358869
OWN - NLM
STAT- MEDLINE
DCOM- 20130617
LR  - 20130226
IS  - 1477-0962 (Electronic)
IS  - 0961-2033 (Linking)
VI  - 22
IP  - 3
DP  - 2013 Mar
TI  - Annular subacute cutaneous lupus erythematosus lesions and polymyositis onset in 
      a patient with primary Sjogren's syndrome: how should this unusual association be 
      classified?
PG  - 312-5
LID - 10.1177/0961203312474703 [doi]
AB  - Classification of the wide variety of autoimmune diseases that can occur before 
      or after the onset of Sjogren's syndrome (SS) is currently debated within the 
      conventional SS criteria or as primary SS (pSS) developing autoimmune disease or 
      as 'associated-overlap' with other systemic autoimmune diseases. There is also 
      debate on whether or not to consider annular polycyclic subacute cutaneous lupus 
      erythematosus (SCLE) and annular erythema associated with Sjogren's syndrome 
      (AESS) as a spectrum linked to Ro-SSA and/or La-SSB auto-antibodies (SSA/SSB 
      auto-ab). We present the case of a 55-year-old female patient, with pSS positive 
      for SSA and SSB auto-ab, who developed chronic relapsing polymyositis and 
      atypical annular non-polycyclic SCLE lesions resembling AESS, which seemed to 
      suggest a common spectrum. While a chronic-progressive polymyositis may be 
      generally accepted as a relatively rare myositis complicating pSS, interpretation 
      of annular lesions of non-systemic SCLE in SS patients might actually be 
      underestimated as pSS skin manifestation likely related to SSA/SSB auto-ab.
FAU - Bernacchi, E
AU  - Bernacchi E
AD  - Dermatologic Clinic, University of Florence - Italian Group of Cutaneous 
      Immunopathology, Italy. bettibernacchi@libero.it
FAU - Neri, R
AU  - Neri R
FAU - Caproni, M
AU  - Caproni M
FAU - Loggini, B
AU  - Loggini B
FAU - Fabbri, P
AU  - Fabbri P
FAU - Bombardieri, S
AU  - Bombardieri S
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20130128
PL  - England
TA  - Lupus
JT  - Lupus
JID - 9204265
SB  - IM
MH  - Female
MH  - Humans
MH  - Lupus Erythematosus, Cutaneous/*complications/diagnosis/therapy
MH  - Middle Aged
MH  - Polymyositis/*complications/diagnosis/therapy
MH  - Sjogren's Syndrome/*complications/diagnosis/therapy
EDAT- 2013/01/30 06:00
MHDA- 2013/06/19 06:00
CRDT- 2013/01/30 06:00
PHST- 2013/01/30 06:00 [entrez]
PHST- 2013/01/30 06:00 [pubmed]
PHST- 2013/06/19 06:00 [medline]
AID - 0961203312474703 [pii]
AID - 10.1177/0961203312474703 [doi]
PST - ppublish
SO  - Lupus. 2013 Mar;22(3):312-5. doi: 10.1177/0961203312474703. Epub 2013 Jan 28.