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VIGNETTES
Coarse Calcifications by Mammography in Lupus Mastitis
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Report of a Case
A 30-year-old woman was referred with right breast pain and tenderness of recent onset with a likely diagnosis of inflammatory breast carcinoma. Eleven years ago she had developed the cutaneous lesions of the hands, forehead, cheeks, and ears that often accompany discoid lupus erythematosus; these lesions were treated with hydroxychloroquine, topical betamethasone cream, and thalidomide. Within the last 12 months, she developed multiple inflammatory episodes of the right breast while receiving hydroxychloroquine; she was treated with prednisolone because of a presumptive diagnosis of lupus mastitis.
On examination, she was afebrile and healthy. The right breast was slightly erythematous, diffusely infiltrated, "sclerodermoid," and painful on palpation. There were neither axillary lymphadenopathy nor palpable lymph nodes. An atrophic lesion was found at the upper part of the right breast. Cutaneous lesions of chronic discoid lupus erythematosus were present on the hands and cheeks. The remainder of the physical examination findings was unremarkable. . . . [Full Text of this Article]
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AUTHOR INFORMATION
Claude Bachmeyer, MD;
Isabelle Goubin, MD;
Hélène Berseneff, MD;
Laurent Blum, MD
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