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

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.