The progressive systemic sclerosis/systemic lupus overlap: an unusual clinical progression.
Identifieur interne : 002F54 ( Main/Exploration ); précédent : 002F53; suivant : 002F55The progressive systemic sclerosis/systemic lupus overlap: an unusual clinical progression.
Auteurs : R A Asherson [Royaume-Uni] ; H. Angus [Royaume-Uni] ; J A Mathews [Royaume-Uni] ; O. Meyers [Royaume-Uni] ; G R Hughes [Royaume-Uni]Source :
- Annals of the Rheumatic Diseases [ 0003-4967 ] ; 1991-05.
English descriptors
- Teeft :
- Antinuclear, Antinuclear antibodies, Antinuclear antibody, Clinical details, Collagen diseases, Connective tissue disease, Connective tissue diseases, Creatine kinase, Discoid, Discoid lupus, Discoid lupus erythematosus, Erythematosus, Familial occurrence, Lupus, Lupus overlap, Metacarpophalangeal joints, Mild myositis, Myositis, Other authors, Predominant features, Radiograph, Rheumatoid factor, Scleroderma, Sclerosis, Steroid treatment, Systemic, Systemic lupus erythematosus, Uncorrected clearance, Urticarial vasculitis, White woman, Year period.
Abstract
Three patients with the unusual combinations of discoid lupus, systemic lupus erythematosus (SLE), and progressive systemic sclerosis (PSS) are reported. The first patient developed PSS eight years after a diagnosis of discoid lupus had been made and this was complicated by myositis six years later. The second patient developed PSS more than 20 years after being diagnosed as having SLE. The third patient developed SLE with predominant features of urticarial vasculitis six years after PSS. Mild myositis also ensued. There were no antibodies to U1RNP demonstrable in any of these patients. The clinical progression of SLE to PSS or vice versa in the absence of features of mixed connective tissue disease is distinctly uncommon.
Url:
DOI: 10.1136/ard.50.5.323
Affiliations:
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Meyers</name><affiliation wicri:level="3"><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><wicri:orgArea>Lupus Arthritis Research Unit, St. Thomas's Hospital</wicri:orgArea></affiliation></author><author><name sortKey="Hughes, G R" sort="Hughes, G R" uniqKey="Hughes G" first="G R" last="Hughes">G R Hughes</name><affiliation wicri:level="3"><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><wicri:orgArea>Lupus Arthritis Research Unit, St. Thomas's Hospital</wicri:orgArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Annals of the Rheumatic Diseases</title><title level="j" type="abbrev">Ann Rheum Dis</title><idno type="ISSN">0003-4967</idno><idno type="eISSN">1468-2060</idno><imprint><publisher>BMJ Publishing Group Ltd and European League Against Rheumatism</publisher><date type="published" when="1991-05">1991-05</date><biblScope unit="volume">50</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="323">323</biblScope></imprint><idno type="ISSN">0003-4967</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-4967</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Antinuclear</term><term>Antinuclear antibodies</term><term>Antinuclear antibody</term><term>Clinical details</term><term>Collagen diseases</term><term>Connective tissue disease</term><term>Connective tissue diseases</term><term>Creatine kinase</term><term>Discoid</term><term>Discoid lupus</term><term>Discoid lupus erythematosus</term><term>Erythematosus</term><term>Familial occurrence</term><term>Lupus</term><term>Lupus overlap</term><term>Metacarpophalangeal joints</term><term>Mild myositis</term><term>Myositis</term><term>Other authors</term><term>Predominant features</term><term>Radiograph</term><term>Rheumatoid factor</term><term>Scleroderma</term><term>Sclerosis</term><term>Steroid treatment</term><term>Systemic</term><term>Systemic lupus erythematosus</term><term>Uncorrected clearance</term><term>Urticarial vasculitis</term><term>White woman</term><term>Year period</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Three patients with the unusual combinations of discoid lupus, systemic lupus erythematosus (SLE), and progressive systemic sclerosis (PSS) are reported. The first patient developed PSS eight years after a diagnosis of discoid lupus had been made and this was complicated by myositis six years later. The second patient developed PSS more than 20 years after being diagnosed as having SLE. The third patient developed SLE with predominant features of urticarial vasculitis six years after PSS. Mild myositis also ensued. There were no antibodies to U1RNP demonstrable in any of these patients. The clinical progression of SLE to PSS or vice versa in the absence of features of mixed connective tissue disease is distinctly uncommon.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Asherson, R A" sort="Asherson, R A" uniqKey="Asherson R" first="R A" last="Asherson">R A Asherson</name></region><name sortKey="Angus, H" sort="Angus, H" uniqKey="Angus H" first="H" last="Angus">H. Angus</name><name sortKey="Hughes, G R" sort="Hughes, G R" uniqKey="Hughes G" first="G R" last="Hughes">G R Hughes</name><name sortKey="Mathews, J A" sort="Mathews, J A" uniqKey="Mathews J" first="J A" last="Mathews">J A Mathews</name><name sortKey="Meyers, O" sort="Meyers, O" uniqKey="Meyers O" first="O" last="Meyers">O. 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