Discoid lupus erythematosus in Child
See also in: External and Internal Eye,Hair and ScalpAlerts and Notices
Synopsis
- Neonatal lupus erythematosus – Beginning in the first few months of life.
- Discoid lupus erythematosus – Predominantly skin lesions during childhood.
- Subacute lupus erythematosus – Skin lesions during childhood.
- Systemic lupus erythematosus
- Lupus panniculitis
In a large series, about 5% of patients with DLE had lesions starting in childhood. Cases have been reported in several ethnic groups, although there are less than 50 cases in the literature. A minority of patients have developed systemic lupus erythematosus (SLE), but follow-up time has usually been limited.
Related topic: Drug-induced lupus erythematosus
Codes
ICD10CM:L93.0 – Discoid lupus erythematosus
SNOMEDCT:
200938002 – Discoid lupus erythematosus
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Neonatal lupus – Begins in the first months of life.
- Subacute and systemic lupus – Usually not scarring.
- Trichophyton tonsurans infection of the scalp (tinea capitis) – Can be very inflammatory and should be ruled out. A rare dermatophyte infection causes favus, which has an associated scarring alopecia.
- Perioral dermatitis and rosacea
- Sarcoidosis
- Lichen planus
- Lichen planopilaris
- Dermatomyositis
- Syphilis (see secondary syphilis)
- Porphyria (see erythropoietic protoporphyria) – Erythropoietic porphyria starts in childhood and is common.
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:10/14/2018
Last Updated:10/14/2018
Last Updated:10/14/2018
Patient Information for Discoid lupus erythematosus in Child
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Discoid lupus erythematosus in Child
See also in: External and Internal Eye,Hair and Scalp