Pigmented purpuric dermatitis preceding the diagnosis of mycosis fungoides by 24 years.

* This case report details an 18-year-old female patient whose SLE first presented with generalized muscle weakness, joint pain, and distinctive rashes indicative of lupus and vasculitis.
* After extensive testing, she was diagnosed and treated with a combination of medications, leading to significant improvement in her symptoms and muscle strength over time.

Trop Doct

October 2024

Professor and Head, Department of Dermatology, Government Medical College, Patiala, Punjab.

J Clin Aesthet Dermatol

September 2024

Dr. Horiuchi is with the Division of Dermatology, Tsuruse Orthopedic Clinic in Saitama, Japan.

Clin Cosmet Investig Dermatol

August 2024

Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People's Republic of China.

Livedoid vasculopathy is a rare skin condition that can be difficult to diagnose, leading to prolonged suffering and scarring for patients due to delays in correct identification.
A study reviewed patient records at Peking Union Medical College Hospital to understand why initial misdiagnoses occurred and to improve diagnostic accuracy for this condition.
Findings showed that most patients had alternative diagnoses, with the average time to correct diagnosis being over 4 years; common errors included misassessments by clinicians and inadequate follow-ups, emphasizing the need for greater awareness and timely skin biopsies before starting treatments.

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