Flagellate erythema in systemic sclerosis: A case report

Flagellate erythema is characterized by linear erythematous streaks with hyperpigmentation. The condition is a characteristic side effect of bleomycin, an antineoplastic sulphur-containing antibiotic developed in the 1960s, and might also occur after consumption of raw or undercooked shiitake mushrooms.1 Moreover, it is less frequently associated with dermatomyositis or adult-onset Still disease.2 Precise mechanisms for the formation of these lesions are unknown and seem to vary by etiology. We report the first described case of flagellate erythema associated with systemic sclerosis.