ABSTRACT: A case of systemic lupus erythematosus (SLE) and subepidermal bullous dermatoses is reported here. The patient presented with a butterfly facial erythema, arthralgia, fever, diffuse non-scarring alopecia, palatal ulcers and generalised bullae all over the body with involvement of oral mucous membrane. The bullae appeared both from normal and erythematous skin, some of which are arcuate of kidney shaped. Bullous eruptions in SLE sometimes becomes difficult to diagnose as cases of both bullous SLE and SLE with other primary bullous diseases have been documented.

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ABSTRACT: A very rare case of systemic lupus erythematosus (SLE) with transient myocardial infarction and functional left ventricular aneurysm demonstrated by echocardiography is presented. To our knowledge this is the first reported case of SLE with this rare cardic complication. The propable cause of myocardial infection was thought to be coronary vasculitis as the patient was on corticosteroid for only one month prior to the acute episode of myocardial infraction and improved successfully on increasing the dose of steroid following the acute episode. But the Electrocardiographic finding of acute myocardial infarction changed subsequently into myocardial ischaemia during follow up Electrocardiography. There was uneventful recovery of the patient and the dose of corticosteroid was gradually tapered.

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ABSTRACT: A seventy-two-old man had a rough surface and a beown pigmented macule on his right nipple and areola for a few months. Microscopic examination revealed that Paget cells had infiltrated the epidermis and partially invaded the basal membranes. A mass of comedo carcinomas had partially invaded the dermis. Radical mastectomy was performed. Mammary Paget's disease in the male breast is so serious that prompt biopsy of the eczematous region of the nipple necessary.

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ABSTRACT: In a prospective 5 year study, 8 Reiter's disease patients were diagnosed and investigated. All were males, the youngest being 9 and the oldest of 40 years. Five of them were married. Prelextra material sex was denied by all of them. The etiology in 7 appeared to be venereal, while in one it appeared after severe dysentery. Joint eyes and skin manifestations were present in all the patients. Urine and stool cultures were positive for Chlamydia and Shigella in one patient each. Anaemia, raised ESR. leucocytosis and a low serum proteins were other salient laboratory findings. Skiagrams of bones and joints, and histopathology of cutaneous lesions were also characteristic.

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