PMID- 33938438 OWN - NLM STAT- MEDLINE DCOM- 20211021 LR - 20211021 IS - 1751-7125 (Electronic) IS - 1540-9740 (Linking) VI - 19 IP - 2 DP - 2021 TI - Leprosy as a Diagnostic Challenge in the United States. PG - 137-141 AB - A 63-year-old woman from Central Florida presented to an outside clinic with a 2-year history of a progressive, asymptomatic cutaneous eruption and arthralgias. Her past medical history was significant for reported seronegative rheumatoid arthritis, for which adalimumab, methotrexate, and low-dose prednisone therapy were initiated 5 years prior. The skin eruption occurred shortly after a 4-week hospitalization during which these medications were withheld. At her initial outside evaluation, a biopsy was performed and interpreted as subacute cutaneous lupus erythematosus (SCLE). She was treated with hydroxychloroquine without improvement. A repeat biopsy was reported as consistent with interstitial granulomatous dermatitis (IGD). There was no improvement with potent topical corticosteroids. FAU - Hoesly, Paul M AU - Hoesly PM AD - Department of Dermatology, Mayo Clinic, Jacksonville, FL; pmhoesly@gmail.com. FAU - Cappel, Mark A AU - Cappel MA AD - Department of Dermatology, Mayo Clinic, Jacksonville, FL. FAU - Hoesly, Fridolin J AU - Hoesly FJ AD - Department of Dermatology, Mayo Clinic, Jacksonville, FL. FAU - Sluzevich, Jason C AU - Sluzevich JC AD - Department of Dermatology, Mayo Clinic, Jacksonville, FL. FAU - Tolaymat, Leila M AU - Tolaymat LM AD - Department of Dermatology, Mayo Clinic, Jacksonville, FL. FAU - Keeling, James H AU - Keeling JH AD - Department of Dermatology, Mayo Clinic, Jacksonville, FL. LA - eng PT - Case Reports PT - Journal Article DEP - 20210401 PL - United States TA - Skinmed JT - Skinmed JID - 101168327 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Glucocorticoids) RN - 9PHQ9Y1OLM (Prednisolone) SB - IM MH - Anti-Inflammatory Agents/therapeutic use MH - Dermatitis/complications/diagnosis MH - Female MH - Florida MH - Glucocorticoids/*therapeutic use MH - Humans MH - Lupus Erythematosus, Cutaneous/*diagnosis/*drug therapy MH - Middle Aged MH - Prednisolone/therapeutic use EDAT- 2021/05/04 06:00 MHDA- 2023/02/25 06:00 CRDT- 2021/05/03 09:15 PHST- 2021/05/03 09:15 [entrez] PHST- 2021/05/04 06:00 [pubmed] PHST- 2023/02/25 06:00 [medline] PST - epublish SO - Skinmed. 2021 Apr 1;19(2):137-141. eCollection 2021.