case_images: PMC3952287_01
case_images: Clinical photomicrograph showing Dark brown rash over face (red and green arrows) and dark pigmentation over lips (black arrow)
case_images: AMHSR-4-140-g001.jpg
case_images: PMC3952287_01_AMHSR-4-140-g001.jpg
case_images: F1
case_images: On examination, patient had pallor, puffiness of face, hyperpigmentation over face, nose and lips [Figure 1].
case_images: Histopathological examination of the Biopsy specimen showing Features of focal lupus nephritis (International society of nephrology/Renal pathology society class III, national institute of health activity score of 9/24 and chronicity 3/12)
case_images: AMHSR-4-140-g002.jpg
case_images: PMC3952287_01_AMHSR-4-140-g002.jpg
case_images: F2
case_images: International Society of Nephrology/Renal Pathology Society (ISN/RPS) class III, National Institute of Health (NIH) activity score of 9/24 and chronicity 3/12 [Figure 2]. Immunofluorescence showed immune deposit pattern suggestive of SLE.