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A previously healthy 30\u2010year male homozygous for the tumor necrosis factor\u2010\u03b1 (TNF\u2010\u03b1) 308. A promoter allele developed SCLE after spending several hours removing fertilizer\u2010 and pesticide\u2010containing hay from an agricultural barn in the springtime. The cutaneous eruption soon resolved, only to reappear 3\u00a0weeks later on the day the patient re\u2010entered the barn. An environmental agent present in the barn, coupled with springtime ultraviolet light, likely triggered the disease in this immunogenetically susceptible individual.<\/jats:p>","DOI":"10.1111\/j.1365-4632.2004.02013.x","type":"journal-article","created":{"date-parts":[[2004,2,6]],"date-time":"2004-02-06T10:12:06Z","timestamp":1076062326000},"page":"87-94","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Lupus erythematosus induced by medications, ultraviolet radiation, and other exogenous agents: A review, with special focus on the development of subacute cutaneous lupus erythematosus in a genetically predisposed individual"],"prefix":"10.1111","volume":"43","author":[{"given":"Michael","family":"Shapiro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur 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