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Neonatal lupus erythematosus: a case report.

C M Chen1, Y H Hsu

  • 1Department of Pediatrics, Tzu-Chi Buddhist General Hospital, Hualien, Taiwan, Republic of China.

Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|May 1, 1992
PubMed
Summary
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Neonatal lupus erythematosus can present with skin lesions and blood count abnormalities in newborns. Early supportive care and sun avoidance led to gradual recovery of symptoms.

Area of Science:

  • Dermatology
  • Immunology
  • Pediatrics

Background:

  • Neonatal lupus erythematosus (NLE) is a condition affecting newborns, linked to maternal autoantibodies.
  • It can manifest as congenital heart block or cutaneous lupus erythematosus.
  • Maternal autoantibodies, specifically anti-Ro/SSA and anti-La/SSB, are key diagnostic markers.

Observation:

  • A female infant presented with erythematous maculopapules at birth, along with leukopenia and thrombocytopenia.
  • The mother was clinically asymptomatic but tested positive for antinuclear antibodies, anti-Ro/SSA, and anti-La/SSB antibodies.
  • Skin lesions evolved into annular, erythematous patches, with biopsy confirming dermal edema and immune complex deposition.

Findings:

  • The infant exhibited characteristic cutaneous lesions and hematologic abnormalities (leukopenia, thrombocytopenia).

Related Experiment Videos

  • Positive maternal and infant autoantibodies (ANA, anti-Ro/SSA, anti-La/SSB) confirmed NLE.
  • Skin biopsy revealed inflammation and immune complex deposition in the epidermis.
  • Implications:

    • This case highlights the presentation of NLE with cutaneous manifestations and hematologic issues.
    • Supportive treatment and sun avoidance facilitated symptom resolution.
    • The study underscores the importance of maternal autoantibody screening in suspected NLE cases.