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Scaly ear rash as the herald of a young girl with juvenile systemic lupus erythematosus.

Huang CF, Wang WM, Chiang CP - Ann Dermatol (2011)

Bottom Line: Juvenile systemic lupus erythematosus (JSLE) is an autoimmune-mediated multiorgan disease.The cutaneous manifestation is one of the most common initial presentations in JSLE.Herein, we report two cases of JSLE with similar persistent scaly ear rashes as the heralding cutaneous symptom preceding systemic symptoms.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

ABSTRACT
Juvenile systemic lupus erythematosus (JSLE) is an autoimmune-mediated multiorgan disease. The cutaneous manifestation is one of the most common initial presentations in JSLE. A typical lesion is a facial malar rash, but a patient may sometimes present with nonclassical lesions. Herein, we report two cases of JSLE with similar persistent scaly ear rashes as the heralding cutaneous symptom preceding systemic symptoms. Identifying this atypical and underestimated cutaneous rash in juvenile patients might help the clinician make the correct diagnosis and provide earlier intervention, which may help prevent disease progression.

No MeSH data available.


Related in: MedlinePlus

Patient 1. (A) Scaly erythematous plaque on the left ear. (B) Typical malar rah. (C) Painful ulcer on the hard palate. Patient 2. (D) Edematous, erythematous plaque with scales on the left ear. (E) Facial malar rash, discoid rash with petechiae. (F) Periungual erythema over the fingers.
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Figure 1: Patient 1. (A) Scaly erythematous plaque on the left ear. (B) Typical malar rah. (C) Painful ulcer on the hard palate. Patient 2. (D) Edematous, erythematous plaque with scales on the left ear. (E) Facial malar rash, discoid rash with petechiae. (F) Periungual erythema over the fingers.

Mentions: On dermatological examination, a well-demarcated scaly erythematous plaque was found on the patient's left ear (Fig. 1A). Numerous erythematous papules with scales were noted on the anterior neck, chest, and both forearms. The characteristic confluent symmetric erythema and edema were centered over the malar eminence and bridge of the nose, but the nasolabial folds were spared (Fig. 1B). Other extracutaneous lesions included an oral ulcer on the hard palate (Fig. 1C) and erythema with telangiectasia around the proximal nail fold.


Scaly ear rash as the herald of a young girl with juvenile systemic lupus erythematosus.

Huang CF, Wang WM, Chiang CP - Ann Dermatol (2011)

Patient 1. (A) Scaly erythematous plaque on the left ear. (B) Typical malar rah. (C) Painful ulcer on the hard palate. Patient 2. (D) Edematous, erythematous plaque with scales on the left ear. (E) Facial malar rash, discoid rash with petechiae. (F) Periungual erythema over the fingers.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3276790&req=5

Figure 1: Patient 1. (A) Scaly erythematous plaque on the left ear. (B) Typical malar rah. (C) Painful ulcer on the hard palate. Patient 2. (D) Edematous, erythematous plaque with scales on the left ear. (E) Facial malar rash, discoid rash with petechiae. (F) Periungual erythema over the fingers.
Mentions: On dermatological examination, a well-demarcated scaly erythematous plaque was found on the patient's left ear (Fig. 1A). Numerous erythematous papules with scales were noted on the anterior neck, chest, and both forearms. The characteristic confluent symmetric erythema and edema were centered over the malar eminence and bridge of the nose, but the nasolabial folds were spared (Fig. 1B). Other extracutaneous lesions included an oral ulcer on the hard palate (Fig. 1C) and erythema with telangiectasia around the proximal nail fold.

Bottom Line: Juvenile systemic lupus erythematosus (JSLE) is an autoimmune-mediated multiorgan disease.The cutaneous manifestation is one of the most common initial presentations in JSLE.Herein, we report two cases of JSLE with similar persistent scaly ear rashes as the heralding cutaneous symptom preceding systemic symptoms.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

ABSTRACT
Juvenile systemic lupus erythematosus (JSLE) is an autoimmune-mediated multiorgan disease. The cutaneous manifestation is one of the most common initial presentations in JSLE. A typical lesion is a facial malar rash, but a patient may sometimes present with nonclassical lesions. Herein, we report two cases of JSLE with similar persistent scaly ear rashes as the heralding cutaneous symptom preceding systemic symptoms. Identifying this atypical and underestimated cutaneous rash in juvenile patients might help the clinician make the correct diagnosis and provide earlier intervention, which may help prevent disease progression.

No MeSH data available.


Related in: MedlinePlus