Lupus erythematosus with revealing dermatitis in children: a 26 cases report

ABSTRACT

The infant lupus erythematosus is rare before the age of 15 years and exceptional during the first 2 years of life. Through a retrospective study of 26 child lupus erythematosus collected in Casablanca Ibn Rochd Dermatology Unit from January 1970 to December 2002, we tried to study anamnestic, clinical, paraclinical, therapeutic and evolutive characteristics of this disease in our context. The children were 7 day-old to 15 year-old with a mean age of 12 years and a clear female predominance [76.9%]. The cutaneous manifestations were the first symptom in all cases. The extracutaneous manifestations were detected in 10 cases [38.46%]. The anatomic clinical forms were chronic lupus erythematosus in 13 cases, systemic lupus erythematosus in 9 cases, subacute lupus erythematosus in 2 cases, deep lupus erythematosus in one case, neonatal lupus erythematosus in one case. Treatment of the systemic lupus was corticotherapy in 10 cases. In pure dermatologic forms, dermocorticoids were given to 10 children and synthesis antimalarial to 3 children. The remission was obtained in 15 cases [57.69%] and 3 had relapses. Our study showed the predominance of the child lupus erythematosus in girls, the diversity of the clinical forms in this age with predominance of the chronic lupus erythematosus