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Histologically, basal cell layer damage with vacuolization was found; the results of direct immunofluorescence were negative.There were no clinical manifestations suggestive of systemic LE, and there was no hypocomplementemia or proteinuria. The results of antinuclear antibody testing were negative, but anti-SSA antibodies were present.The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.

Andrews, Scotland, UK; and Lund University, Lund, Sweden.

From August 1995 to January 1997, therapy with topical clobetasol propionate in combination with chloroquine sulfate and then hydroxychloroquine sulfate was ineffective.

Thalidomide was added to the patient's regimen in February 1997, but its use was discontinued because of a suspected cutaneous adverse drug reaction.

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