Lupus syndromes have been described in rheumatoid arthritis and inflam
matory bowel diseases treated with sulphasalazine. We describe two cas
es of lupus with clinical and serological disease, developing in seron
egative, immunologically nude psoriatic arthritis following sulphasala
zine treatment. On cessation of sulphasalazine the clinical and serolo
gic features of lupus disappeared. This suggests that the lupus syndro
me was induced by sulphasalazine rather than unmasked by it.