Systemic lupus erythematosus with toxic epidermal necrolysis–like lesions: An infrequent variant of acute cutaneous erythematous lupus

Introduction: Skin manifestations in systemic lupus erythematosus (SLE) are very heterogeneous. Toxic epidermal necrolysis (TEN)–like lesions are an infrequent clinical presentation of SLE that are included as diagnostic criteria and a variant of acute cutaneous lupus. It presents with photodistributed exanthema and minimal mucositis and the onset of the rash is insidious. Differential diagnosis between "TEN-like" LE and classic TEN, could be difficult especially when LE has not been previously diagnosed.