Ulcers in Patient with Systemic Lupus Erythematous | Figure 1

JesusVillanueva

Internal Medicine Resident

Ulcers in Patient with Systemic Lupus Erythematous

A 28-year-old female patient with a history of systemic lupus erythematous diagnosed 4 years ago presents with ulcers in the right lower limb with exposed tendons.

Paciente mujer de 28 años, con antecedente de Lupus eritematoso sistémico diagnosticada hace 4 años se presenta con úlceras en miembro inferior derecho con exposición de tendones.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.