Conclusion
Our case emphasizes the importance of considering RS as a differential
diagnosis in all patients with LE presenting EM-like lesions in the
absence of triggering factors. Not being able to do so results in
underdiagnosis and underestimation of the disease, which will result
into irreversible complications. Certainly, clinicians need to be aware
of the cutaneous signs associated with systemic diseases to facilitate
early diagnosis and timely treatment before potentially life-threatening
complications develop. Hence, thorough and comprehensive research needs
to be undertaken to establish the existence of RS as a separate entity.