case_images: PMC7594233_01
case_images: Urticarial vasculitic skin lesions of forearm, palms, and thigh.
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case_images: III lupus nephritis that transformed into to class IV in 2001 as well as positive antibodies for ANA, Anti ds-DNA, anti-Sm, and anti-Ro antibodies. In May 2013, while she was on remission of the lupus nephritis, presented with skin lesions over her body predominantly urticarial, non-pruritic (Figure 1), lasting for more than 24 hours, and healing with post-inflammatory hyperpigmentation.
case_images: Angioedema of lips.
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case_images: Several months prior to her skin manifestations she had 4 episodes of lip swelling her picture was suggestive of angioedema (Figure 2), not triggered by known medication such as ACE inhibitor.
case_images: Discoid lupus erythematosus of nose, ear, around eyebrow, and scalp.
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case_images: Six weeks later, she presented with severe discoid lupus erythematosus affecting her scalp, around the eyebrows, behind ears, and over nose (Figure 3).