{'fraction_non_alphanumeric': 0.02569750367107195, 'fraction_numerical': 0.004405286343612335, 'mean_word_length': 5.616504854368932, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Systemic lupus erythematous presenting with hydroa vacciniforme‐like eruption: Mimicking Epstein–Barr virus‐associated lymphoproliferative disorders

Dear Editor, Systemic lupus erythematosus (SLE) is a chronic autoimmune disease involving multiple systems. Most SLE patients present various cutaneous manifestations which provide clues to the diagnosis at some point, but also may lead to confusions with other diseases. We herein describe a patient with SLE showing a papulovesicular eruption resembling hydroa vacciniforme (HV). A 14-year-old girl presented with a 2-week history of multiple erythematous papules with crusts on her face. One month before her visit, she developed mild fever and within 2 weeks it progressed to a high fever and facial rash. However, the exacerbation of her skin lesion did not seem to be related to photoexposure. Physical examination showed small, erythematous necrotic papules, vesicles and plaques on her face with edematous cheeks (Fig. 1). There were a few scattered papules on other sites of the body such as the abdomen and extremities. Although the spleen was palpable, hepatomegaly or lymphadenopathy was not detected. Laboratory evaluation revealed leukopenia, anemia, thrombocytopenia, and elevated aspartate transaminase and alanine Table 2. Comparison of dermatomyositis patients with and without mechanic’s hands