Systemic lupus erythematosus presenting with a reticular erythematous mucinosis-like condition

We report the case of a woman with clinical and histopathological features of reticular erythematous mucinosis syndrome (REM) who six years later deve loped diagnostic criteria for systemic lupus erythematosus (SLE). Two biops ies performed at the same area initially showed mucin dermal deposits and f urther development of characteristic dermo-epidermal changes of lupus eryth ematosus. Our findings suggest that SLE may present with an REM-like condition.