Redefining Rowell's syndrome

Rowell's syndrome is believed to be a distinct and rare clinical entity ori ginally described as lupus erythematosus associated with erythema multiform e-like lesions with immunological findings of speckled antinuclear antibodi es, anti-La antibodies and a positive test for rheumatoid factor. We report two additional patients with Rowell's syndrome and review all the diagnost ic criteria found in the literature, In view of the inconsistent findings o f some of the diagnostic features, we propose that major and minor criteria be used to diagnose Rowell's syndrome.