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Koebner’s phenomenon in systemic lupus erythematosus

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Abstract

Koebner phenomenon is defined as a nonspecific skin stimulus eliciting a disease skin reaction. The nature of the skin trauma varies greatly and includes areas of thermal injury, excoriations, surgical incisions, and scars. We report a patient with recent onset of systemic lupus erythematosus who developed Herpes zoster on immunosuppressant medication. Two weeks after resolution of the vesicles, the patient presented with new ulcerative reddish lesions over the herpes zoster scare and worsening of her malar rash without evidence of worsening of any other organ. Koebner phenomenon was suspected. We review the literature on Koebner phenomenon in SLE.

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Acknowledgments

Dr. Appenzeller has a Young Investigator Grant from Fundação de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP 2008-02917-0 and 2009-06049-6) and Conselho Nacional Pesquisa Desenvolvimento-Brasil CNPq (300447/2009-4).

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No potential conflict of interest.

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Authors and Affiliations

  1. Department of Pediatrics, Faculty of Medical Science, State University of Campinas, Campinas, Brazil

    Barbara S. Longhi, Maraisa Centeville & Roberto Marini

  2. Department of Medicine, Faculty of Medical Science, State University of Campinas, Campinas, Brazil

    Simone Appenzeller

  3. Disciplina de Reumatologia, Departamento de Clínica Médica Faculdade de Ciências Médicas, CP 6111 Universidade Estadual de Campinas—UNICAMP CEP, 13083-970, Campinas, São Paulo, Brazil

    Simone Appenzeller

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  1. Barbara S. Longhi
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  2. Maraisa Centeville
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  3. Roberto Marini
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  4. Simone Appenzeller
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Correspondence to Simone Appenzeller.

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Longhi, B.S., Centeville, M., Marini, R. et al. Koebner’s phenomenon in systemic lupus erythematosus. Rheumatol Int 32, 1403–1405 (2012). https://doi.org/10.1007/s00296-011-1864-4

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  • DOI: https://doi.org/10.1007/s00296-011-1864-4

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