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Topics:
Internal Medicine • Rheumatology • Systemic lupus erythematosus • Dermatology • Systemic autoimmune diseases
How do you approach treating patients with lupus profundus?
Do you typically start the patient on hydroxychloroquine?
What work-up do you perform?
Answer from: at Academic Institution
For lupus profundus/lupus panniculitis, I would first confirm the diagnosis with a deep punch biopsy or incisional biopsy. The differential for lupus profundus includes factitial panniculitis, traumatic panniculitis, morphea profundus, and subcutaneous panniculitis-like T-cell lymphoma.Once the diag...
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