Lupus panniculitis involving the breast

Josep M. Sabaté, Antonio Gómez, Sofía Torrubia, Teresa Salinas, Montse Clotet, Enrique Lerma

Research output: Contribution to journalArticleResearchpeer-review

21 Citations (Scopus)

Abstract

Lupus panniculitis is an unusual immunological disease that characteristically affects the subcutaneous fat and occurs in 2% of patients with systemic lupus erythematosus. We report a case of lupus panniculitis involving the breast, which represents a very uncommon location. Mammographically, it presented as a suspicious irregular mass involving the subcutaneous fat pad with skin thickening. High echogenicity constituted the most relevant sonographic finding. To the best of our knowledge, the magnetic resonance (MR) features have not been previously described. High signal intensity was found on both T1- and T2-weighted precontrast MR images. A dynamic contrast-enhanced study revealed a suspicious focal mass with irregular margins and rim enhancement, with a type 3 time-signal intensity curve. Differential diagnosis with carcinoma and fat necrosis and the value of core biopsy are discussed. © Springer-Verlag 2005.
Original languageEnglish
Pages (from-to)53-56
JournalEuropean Radiology
Volume16
Issue number1
DOIs
Publication statusPublished - 1 Jan 2006

Keywords

  • Breast
  • Immunological disorders
  • Lupus panniculitis
  • MR imaging

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