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Current Medical Imaging

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ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

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Case Report

Rare and First Manifestation of Lupus Panniculitis as Lupus Mastitis: A Case Report and Literature Review

Author(s): Chong Yong Guo, Li Chen, Lin Sun, Xiao Shan Yang, Ruiqi Mao, Bo Cheng Li, Xin Jun Li and Ling Zhou*

Volume 20, 2024

Published on: 14 September, 2023

Article ID: e040823219416 Pages: 5

DOI: 10.2174/1573405620666230804092737

open_access

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Abstract

Introduction: This case report presents a rare occurrence of lupus mastitis affecting the breast.

Case Presentation: An induration with mild discomfort was detected in the upper inner quadrant of the right breast of a 27-year-old Chinese woman with regular menstrual cycles. The patient is currently unmarried and has no previous history of full-term pregnancies or lactation. An ill-defined, subcutaneous, hyperechoic lesion with no calcification was visualized on breast ultrasound. Peripheral and internal blood flow signals demonstrated high intensity. Pathological analysis of a breast needle biopsy revealed fat lobule necrosis accompanied by mixed lymphoplasmacytic and histiocytic aggregates.

Conclusion: The diagnosis of lupus mastitis necessitates a comprehensive evaluation of the patient's medical history, serological testing, imaging studies, and histopathological analysis.

Keywords: Lupus mastitis, Biopsy, Breast, Systemic lupus erythematous, Ultrasonography, Magnetic resonance imaging.

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