Subacute Cutaneous Lupus Erythematosus Presenting in Childhood: A Case Report and Review of the Literature

Authors

  • Tammy Berry B.S.,

    1. School of Medicine, University of New Mexico, Albuquerque, New Mexico
    Search for more papers by this author
  • Erica Walsh M.D.,

    1. Department of Dermatology, School of Medicine, University of New Mexico, Albuquerque, New Mexico
    Search for more papers by this author
  • Ryan Berry B.S.,

    1. School of Medicine, University of New Mexico, Albuquerque, New Mexico
    Search for more papers by this author
  • Emily DeSantis M.D.,

    1. Department of Dermatology, School of Medicine, University of New Mexico, Albuquerque, New Mexico
    2. Department of Pathology, School of Medicine, University of New Mexico, Albuquerque, New Mexico
    Search for more papers by this author
  • Aimee C. Smidt M.D.

    Corresponding author
    1. Department of Dermatology, School of Medicine, University of New Mexico, Albuquerque, New Mexico
    2. Department of Pediatrics, School of Medicine, University of New Mexico, Albuquerque, New Mexico
    • Address correspondence to Aimee C. Smidt, M.D., Departments of Dermatology and Pediatrics, School of Medicine, University of New Mexico, 1021 Medical Arts Ave. NE, Albuquerque, NM 87131, or e-mail: asmidt@salud.unm.edu.

    Search for more papers by this author

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.

Ancillary