A 69-year-old Japanese man with recurrent annular erythema localized on palms and flexor surface of fingers with anti-SSA/Ro and anti-SSB/La antibodies, is reported. The present case indicates that even in an elderly man with atypical localization, annular erythema with autoimmunity may be considered and serological analysis should be performed. Systematic studies will be required to understand the relationship between 'recurrent annular erythema associated with anti-SSB/La antibodies' in Japanese, subacute cutaneous lupus erythematosus (SCLE) and 'annular erythema associated with Sjogren's syndrome'.
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Ruzicka T., Faes J., Bergner T., Peter RU, Braun-Falco O.Annular erythema associated with Sjogren's syndrome: a variant of systemic lupus erythematosus. J Am Acad Dermatol1991 ; 25: 557-60.
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Alexander EL , Provost TTCutaneous manifestations of primary Sjogren's syndrome: a reflection of vasculitis and association with anti-Ro(SSA) antibodies. J. InvestDermatol1983; 80: 386-91.
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Inagaki Y., Jinno Y Hamasaki Y, Ueki H. Higher incidences of anti-SSA/Ro and anti-SSB/La autoantibodies in Japanese patients with autoimmune disorders: studies of antigens and antibodies using the immunoblotting method. Arch Dermatol Res1989; 281: 89-94.
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Satoh M., Akizuki M., Kuwana M. et al. Genetic and immunological differences between Japanese patients with diffuse scleroderma and limited scleroderma. J Rheumatol1994; 21: 111-14.
