{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T17:37:31Z","timestamp":1783705051930,"version":"3.55.0"},"reference-count":18,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,9,6]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>Rowell\u2019s syndrome is a rare disorder characterised by an association of lupus erythematosus with erythema multiforme (EM)-like skin lesions. EM as the initial clinical presentation of systemic lupus erythematosus is also atypical and even rarer. We report the case of an 18-year-old girl admitted to our hospital with fever and polyarthralgia along with multiple discrete ill-defined target lesions with crust formation over forehead, cheek, external ears, scalp, upper chest and back (predominantly over sun-exposed areas) with ulceration over hard palate. Investigations revealed pancytopaenia, a positive rheumatoid factor, positive antinuclear antibody with a speckled pattern, anti-Smith antibody and strongly positive anti-Ro. Patient was diagnosed with Rowell\u2019s syndrome as per clinical and laboratory features. Majority of skin lesions including oral ulcerations subsided gradually after treatment with steroids and hydroxychloroquine.<\/jats:p>","DOI":"10.1136\/bcr-2020-235173","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T17:11:03Z","timestamp":1600881063000},"page":"e235173","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Rowell\u2019s syndrome: a rare but distinct entity in rheumatology"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3809-8926","authenticated-orcid":false,"given":"Atanu","family":"Chandra","sequence":"first","affiliation":[{"name":"Internal Medicine, R G Kar Medical College and Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swarup Kanta","family":"Saha","sequence":"additional","affiliation":[{"name":"Internal Medicine, R G Kar Medical College and Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aritra Kumar","family":"Ray","sequence":"additional","affiliation":[{"name":"Internal Medicine, R G Kar Medical College and Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parthasarathi","family":"Karmakar","sequence":"additional","affiliation":[{"name":"Internal Medicine, R G Kar Medical College and Hospital, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,9,23]]},"reference":[{"key":"2025082622533789000_13.9.e235173.1","doi-asserted-by":"publisher","DOI":"10.1177\/0961203311430513"},{"key":"2025082622533789000_13.9.e235173.2","doi-asserted-by":"crossref","DOI":"10.1001\/archderm.1922.02360040068008","article-title":"Lupus erythematosus acutus disseminatus HEMORRHAGICUS","volume":"6","author":"Scholtz","year":"1922","journal-title":"Arch Derm Syphilol"},{"key":"2025082622533789000_13.9.e235173.3","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1963.01590200064012"},{"key":"2025082622533789000_13.9.e235173.4","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.jaad.2011.10.012","article-title":"Rowell syndrome categorized as cutaneous lupus erythematosus subtype","volume":"67","author":"Torchia","year":"2012","journal-title":"J Am AcadDermatol"},{"key":"2025082622533789000_13.9.e235173.5","first-page":"807","article-title":"Rowell\u2019s syndrome: A case report with subacute cutaneous lupus erythematosus and erythema multiforme","volume":"7","author":"Lee","year":"1995","journal-title":"Can J Dermatol"},{"key":"2025082622533789000_13.9.e235173.6","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2000.03306.x"},{"key":"2025082622533789000_13.9.e235173.7","first-page":"55","article-title":"Erythema multiforme--etiopathogenic, clinical and therapeutic aspects","volume":"119","author":"Cre\u0163u","year":"2015","journal-title":"Rev Med Chir Soc Med Nat Iasi"},{"key":"2025082622533789000_13.9.e235173.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2007.06554.x"},{"key":"2025082622533789000_13.9.e235173.9","unstructured":"Wolff K , Goldsmith LA , Katz S , et al . Fitzpatrik\u2019s Dermatology in General Medicine. 7th edn. 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