Abstract
A 17-year-old girl with a history of systemic lupus erythematosus with lupus nephritis for 6 years was found to have progressive superficial tenderness over the medial aspect of the right thigh. In addition, darkening of the skin of the right thigh with an ecchymosis-like appearance developed in the following hours. Ga-67 scans performed to evaluate inflammation of the skin revealed increased uptake in the involved areas. Skin biopsy was performed, and the pathologic diagnosis was necrotizing fasciitis.
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