The paper shows no pDCs infiltration in the skin as well in cases of cutaneous lupus. But yes you’re right that things might be slightly different in different microenvironments, or if the stimulation is only sporadic during PEM.
I was thinking along similar lines hypothesizing that TLR9 stimulation from mtDNA during muscle use or repeated neuron firing could contribute to PEM, though that would likely be involving tissue resident macrophages rather than circulating cells. The trick would be figuring out what TLR stimulus is really only present during the trigger for PEM (or at least in much higher amounts), which is what lead me to think of mtDNA.
[Edit: and, of course, thinking what other mechanism would be constantly misbehaving to produce baseline symptoms outside of PEM.]