Calcified lupus panniculitis: An interesting incidental imaging finding in a chronic SLE patient on medication for years
Raj Saha, Prasun Das, Ram Chandra Bhadra
SLE is a chronic autoimmune disorder which can involve any organ of the body. Musculoskeletal manifestations are extremely frequent in these types of patients. Lupus panniculitis is a rare manifestation of SLE presenting as hard tender asymmetric nodules involving mainly the head and neck region and upper limbs and rarely the buttocks. We present a case of Calcified Lupus Panniculitis from a radiological perspective. A 40 year old female patient was sent to Radiology department from Dermatology Department with complain of a intermittent discharging sinus tract on the lateral aspect of her Rt gluteal region and also a hard feeling over her buttocks for a couple of years. She is a patient of chronic SLE who is on medications for the past 15 years. We first took relevant clinical history and then we evaluated for the sinus/ fistulous tract and the hard swelling over the buttocks. We first took an abdominal Skiagram, followed by ultrasonography and computed tomography of the affected region. The abdominal Skiagram showed extensive calcifications in the bilateral gluteal regions which was confirmed on ultrasonography and computed tomography. We illustrated that in a chronic SLE patient despite being on medications for years lupus panniculitis wasn’t controlled, rather it got worsened and further calcified.
Raj Saha, Prasun Das, Ram Chandra Bhadra. Calcified lupus panniculitis: An interesting incidental imaging finding in a chronic SLE patient on medication for years. International Journal of Medical and Health Research, Volume 7, Issue 3, 2021, Pages 06-08