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Harvey J. Cohen, MD; Samuel B. Frank, MD
White Plains, NY

JAMA. 1970;212(3):481.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Recently Winkelmann¹ reported three patients with systemic lupus erythematosus who had inflammatory nodules during the course of their disease. These nodules were clinically diagnosed as panniculitis. Histopathologic study confirmed this diagnosis. None of the three patients seemed to have a fulminating course.

Report of a Case.—

In 1965 we saw a 28-year-old woman who initially had an extensive eruption of tender nodules ranging in size from 6 to 10 cm on the extremities. The clinical impression of panniculitis was confirmed on histopathologic examination. Over the next ten weeks, while hospitalized, the patient developed epigastric discomfort, oliguria, azotemia, temperature of 104 F (40.0 C), and diffuse system complaints. She didn't respond to massive doses of corticosteroids and died. Complete blood counts were not remarkable but the patient did have one lupus erythematosus (LE) preparation that was considered positive. It is of interest that her sister has had . . . [Full Text PDF of this Article]

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