A Case of Rowell’s Syndrome Masquerading as Erythema Multiforme

Abstract

Background: Rowell’s Syndrome is a rare entity which usually manifests as Lupus Erythematosus with erythema multiforme like lesions. All major criteria as well as minor criteria are to be met in order to diagnose the patient as Rowell’s syndrome. Methods: In this article we are discussing a case of a female patient aged 40 years with polyarthralgia and targetoid lesions and positive rheumatoid factor and ANA showing speckled pattern and positive anti – Ro antibodies. Results: Patient received treatment with methyl prednisolone, hydroxychloroquine and topical steroids and other supportive medication. Patient responded and improved well with the treatment. Conclusion: In all individuals with systemic lupus erythematosus and lesions resembling erythema multiforme, it is advisable to rule out Rowell’s syndrome.