Linear Gingival Erythema Presenting in Systemic Lupus Erythematous

A 31-year-old woman presenting with a total body rash and polyarthralgias for several weeks. Linear gingival erythema was uniquely noted on physical examination. Through testing, a diagnosis of SLE was made. Linear gingival erythema was uniquely noted on physical examination. Treatment was initiated with hydroxychloroquine, IV methylprednisolone, and topical clobetasol. Within days, the patient experienced rapid improvement in joint pain and oral ulcers.