Summary:
Systemic lupus erythematosus (SLE) is a multiorgan
autoimmune disease in which skin is involved in up to 85%
of cases. Lower extremity ulcers are an infrequent but
disabling complication of SLE. Critical peripheral ischemia
(CPI) is also an uncommon but potentially devastating
feature of SLE. We reported a case o f SLE who presented
with multiple ulcers along with digital infarcts of upper and
lower limbs. She had features of digital bone infarct of left
hand and right foot. She also had features of pulmonary
interstitial involvement with pulmonary hypertension. All
of these features were found within three months of disease
onset which is very rare. She was treated with intravenous
Methylprednisolone followed by oral Prednisolone,
Hydroxychloroquinine, Azathioprine, Diuretic, Bosentan,
Aspirin and Nifedipine in combinaton. Later warfarin was
added after one month. She showed significant improvement
after three months of treatment.
Key words: Limb ulcer, bone infarct, pulmonary
hypertension, Systemic lupus erythematosus.
(J Bangladesh Coll Phys Surg 2017; 35: 150-154)