Subacute cutaneous lupus erythematosus presenting in a child
Dr Antoinette Ciconte, Department of Medicine (Dermatology), University of Melbourne, St Vincent’s Hospital, 41 Victoria Parade, Fitzroy 3065, Vic., Australia. Email: [email protected]
Antoinette Ciconte, MB BS. Alan E Mills, FRCPA. Andrew Shipley, FRACGP. Robin Marks, FACD.
SUMMARY
A 5-year-old girl presented in summer with an erythematous, scaly annular eruption in a malar distribution. She had no symptoms or signs of systemic lupus erythematosus. A diagnosis of subacute cutaneous lupus erythematosus was made on the basis of the clinical and histological features, positive anti-Ro antibody and a mildly elevated erythrocyte sedimentation rate. All other investigations, including complement studies, were normal. She has responded well to treatment with 0.5% alclometasone ointment and photoprotection.
