Extensive epidermal loss is not a commonly recognised presentation of acute cutaneous lupus; however, when it does occur, it can be life-threatening and mimic Stevens Johnson Syndrome or Toxic Epidermal Necrolysis. We report 3 cases of TEN-like lupus that presented to an acute dermatology service over a 2-year period, and discuss the features that may help to correctly identify this rare condition.

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Authors: E Roberts, V Melchionda, G Saldanha, S Shaffu, J Royle, K E Harman