LUPUS VULGARIS IN A PATIENT WITH SYSTEMIC LUPUS-ERYTHEMATOSUS AND PERSISTENT IGG DEFICIENCY

We present the case of a patient with juvenile onset systemic lupus er ythematosus (SLE) who developed a persistent, acquired hypogammaglobul inaemia with IgG deficiency. The hypogammaglobulinaemia was probably a complication of high dose corticosteroid treatment. The serum IgG lev el remained subnormal despite intravenous immunoglobulin therapy. Lupu s vulgaris, which developed on the nasal cartilage in this patient wit h SLE, is not an expected finding. This patient is probably the first reported case of SLE associated with lupus vulgaris.