A Rare Presentation of Systemic Lupus Erythematosus with Leg Ulcers and Degos-Like Lesions

Degos-like lesions (DLL) have been associated with connective tissue diseases. Till date only twelve cases of systemic lupus erythematosus (SLE) DLL published. We describe a rare case SLE leg ulcers and DLL. A 23-year-old male presented malar rash, photosensitivity, ulcers, joint pain, oral altered sensorium dyspnea. Cutaneous examination also revealed atrophic, porcelain-white scars over body previously unnoticed by patient. Dermoscopy atrophic was pathognomonic Degos disease. Histopathology from various were consistent disease SLE. Patient admitted in intensive care unit but succumbed to multiorgan failure two days later. This highlights the importance dermoscopy for immediate diagnosis Appropriate investigations early timely management can decrease mortality. Also thorough diseases may reveal uncommon that alter clinical course outcome patients.