The coexistence of lupus erythematosus panniculitis and subcutaneous panniculitis-like T-cell lymphoma in the same patient

Lupus erythematosus panniculitis (LEP) most commonly presents as multiple deep subcutaneous indurated nodules or erythematous plaques involving the face and proximal extremities.1 Lipoatrophy is another characteristic feature on resolution.2,3 Histopathologically, LEP shows lymphoplasmacytic lobular panniculitis, often with dermal mucin deposition, hyaline fat necrosis, and lymphoid follicles. There may be epidermal vacuolar change and a perivascular and periadnexal lymphocytic infiltrate with prominent plasma cells.