title: Subacute cutaneous lupus erythematosus presenting in childhood: a case report and review of the literature.
abstract: A 2-year-old African American, Hispanic boy presented with well-defined, violaceous, annular dermal plaques without scale over the upper extremities, face, lower extremities, and buttocks. The clinical presentation and laboratory studies were consistent with a diagnosis of subacute cutaneous lupus erythematous (SCLE). SCLE presenting in childhood is exceedingly rare, with only eight cases previously reported. It is important to clinically differentiate SCLE from other eruptions more common to children, such as atopic dermatitis, urticarial drug eruptions, and psoriasis vulgaris, because progression to systemic lupus erythematous (SLE) may occur. SLE needs to be closely followed. We present the first case (to our knowledge) of SCLE in a child of African American or Hispanic descent and provide a table of other documented pediatric presentations of SCLE for comparison.
authors.affiliation: School of Medicine, University of New Mexico, Albuquerque, New Mexico.
authors.forename: Tammy
authors.initials: T
authors.lastname: Berry
authors.forename: Erica
authors.initials: E
authors.lastname: Walsh
authors.forename: Ryan
authors.initials: R
authors.lastname: Berry
authors.forename: Emily
authors.initials: E
authors.lastname: DeSantis
authors.forename: Aimee C
authors.initials: AC
authors.lastname: Smidt
mesh_terms: D001706:Biopsy; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008178:Lupus Erythematosus, Cutaneous / Q000175:diagnosis* / Q000473:pathology*; D008297:Male; D012720:Severity of Illness Index; D012867:Skin / Q000473:pathology*