Comedogenic Lupus in a 13-Year-Old Female: A Unique Pediatric Case

Comedogenic lupus (CL) is a rare variant of chronic cutaneous lupus erythematosus, predominantly affecting women in their third and fourth decades of life. We present a case of CL in a pediatric patient, a 13-year-old Hispanic female with a one-year history of an erythematous atrophic plaque on her left cheek, with numerous open comedones. Clinical, dermoscopic, and histopathological findings confirmed the diagnosis. This case highlights the importance of including lupus in the differential diagnosis of atypical or refractory comedonal lesions, particularly in younger patients, to ensure timely diagnosis and effective management.