Lupus Mastitis Manifesting as Extensive Calcification in the Retromammary Area: A Case Report
Lupus mastitis is a presentation of lupus panniculitis that involves subcutaneous fat in patients with systemic lupus erythematosus (SLE). Moreover, lupus mastitis is a rare condition that typically presents as a palpable breast mass. Here, we report the case of a 29-year-old woman with a prior d...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2024-11-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2024.0041 |
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| Summary: | Lupus mastitis is a presentation of lupus panniculitis that involves subcutaneous fat in patients
with systemic lupus erythematosus (SLE). Moreover, lupus mastitis is a rare condition
that typically presents as a palpable breast mass. Here, we report the case of a 29-year-old
woman with a prior diagnosis of SLE who presented with palpable lumps in both breasts.
Imaging studies were performed, and mammography revealed extensive and bizarre calcifications,
mainly in the retromammary area. US revealed large irregular calcifications with
posterior shadowing, and breast MRI images exhibited diffuse irregular persistent rim enhancement
in the retromammary area. An US-guided biopsy was performed to differentiate
the condition from breast cancer and confirmed the diagnosis of fat necrosis, consistent
with the pathological characteristics of lupus mastitis. Herein, we present a case of lupus
mastitis, an unusual clinical manifestation of SLE, and discuss the clinical, pathological, and
imaging findings supporting the diagnosis and the differential diagnosis. |
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| ISSN: | 2951-0805 |