TY - JOUR T1 - Targetoid-like Lesions in the Setting of Systemic Lupus Erythematosus: A Case of Rowell Syndrome JF - The Journal of Rheumatology JO - J Rheumatol SP - 298 LP - 299 DO - 10.3899/jrheum.181021 VL - 47 IS - 2 AU - JORDAN M. WARD AU - JACLYN N. HESS AU - LORETTA S. DAVIS Y1 - 2020/02/01 UR - http://www.jrheum.org/content/47/2/298.abstract N2 - Excessive sun exposure in the context of tapered doses of hydroxychloroquine (HCQ) and methotrexate (MTX), erythema multiforme–like (EM-like) skin lesions, and speckled patterned antibodies led to a diagnosis of Rowell syndrome (RS) in a patient with systemic lupus erythematosus (SLE).A 39-year-old woman with longstanding SLE, Raynaud phenomenon, and Sjögren syndrome reported 6 days of worsening rash following a picnic. Six months prior, her HCQ dose was halved and MTX dose decreased. She denied common triggers of EM or Stevens-Johnson syndrome (SJS), specifically herpes infections and … ER -