A PEDIATRIC CASE OF SYSTEMIC LUPUS ERYTHEMATOSUS: CLINICAL AND DERMOSCOPIC FINDINGS

Year 2017, Volume: 1 Issue: 1, 14 - 18, 28.12.2017

Nida Kaçar , Burak Sezen Selçuk Yüksel Neşe Demirkan

Abstract

A 14 years old girl applied to our clinic with complaint of facial
erythematous plaques of two years duration. Photosensitivity was positive. She had erythematous scarring scaly plaques on the face; cicatricial alopecia on
the scalp; eroded areas on the palate; and periungual telangiectatic erythema.
Dermoscopic examination of facial lesions revealed follicular keratotic plugs,
perifollicular whitish halo, polymorphous
telengiectatic vessels, white scales, and structureless whitish areas.
Irregularly dilated and tortuous, ramified/bushy capillaries were determined in
periungual region. Histopatological and
serological findings were consistent with SLE. Perifollicular whitish
halo, follicular keratotic plugs,
polymorphous telengiectatic vessels, white scales, pigmentation, structureless
whitish areas and, follicular
red dots are the dermoscopic findings reported in DLE. We observed all those findings other than follicular red dots
and pigmentation, which are relatively
uncommon. Nail fold dermoscopy findings were consistent with connective tissue
disease. DLE in conjunction with SLE was suggested. Histopathological and
serological findings confirmed the diagnosis. Dermoscopy is a useful tool in
the diagnosis of DLE. DLE should not be overlooked in pediatric age because of
the high risk of SLE.

Keywords

SLE, pediatric, dermoscopy

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