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

Yıl 2017, Cilt: 1 Sayı: 1, 14 - 18, 28.12.2017

Nida Kaçar , Burak Sezen Selçuk Yüksel Neşe Demirkan

Öz

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.

Anahtar Kelimeler

SLE, pediatric, dermoscopy

Kaynakça

• 1. Ribero S, Sciascia S, Borradori L, et al. The Cutaneous Spectrum of Lupus Erythematosus. Clin Rev Allergy Immunol. 2017 Jul 27. doi: 10.1007/s12016-017-8627-2.
• 2. Patel P, Werth V. Cutaneous lupus erythematosus: a review. Dermatol Clin. 2002; 20: 373-385.
• 3. Lallas A, Argenziano G, Apalla Z, et al. Dermoscopic patterns of common facial inflammatory skin diseases. J Eur Acad Dermatol Venereol. 2014; 28: 609-614.
• 4. Bansal C, Ross AS, Cusack CA. Chronic cutaneous lupus in childhood: a report of two cases and review of the literatüre. Int J Dermatol. 2008; 47: 525-526.
• 5. Lallas A, Zalaudek I, Argenziano G, et al. Dermoscopy in general dermatology. Dermatol Clin. 2013; 31: 679-694.
• 6. Lallas A, Apalla Z, Lefaki I, et al. Dermoscopy of discoid lupus erythematosus. Br J Dermatol. 2013; 168: 284-288.
• 7. Lallas A, Apalla Z, Argenziano G, et al. Clues for differentiating discoid lupus erythematosus from actinic keratosis. J Am Acad Dermatol. 2013;69:e5-6.
• 8. Giacomel J, Zalaudek I, Argenziano G, et al. Dermoscopy of hypertrophic lupus erythematosus and differentiation from squamous cell carcinoma. J Am Acad Dermatol. 2015;72(1 Suppl):S33-36.
• 9. Tosti A, Torres F, Misciali C, et al. Follicular red dots: a novel dermoscopic pattern observed in scalp discoid lupus erythematosus. Arch Dermatol. 2009; 145: 1406-1409.
• 10. Duque-Estrada B, Tamler C, Sodré CT, et al. Dermoscopy patterns of cicatricial alopecia resulting from discoid lupus erythematosus and lichen planopilaris. An Bras Dermatol. 2010; 85: 179-183.
• 11. Hasegawa M. Dermoscopy findings of nail fold capillaries in connective tissue diseases. J Dermatol. 2011; 38: 66-70.