Huang Ching-Fu, Wang Wei-Ming, Chiang Chien-Ping
Department of Dermatology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Ann Dermatol. 2011 Dec;23(Suppl 3):S333-7. doi: 10.5021/ad.2011.23.S3.S333. Epub 2011 Dec 27.
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.
青少年系统性红斑狼疮（JSLE）是一种自身免疫介导的多器官疾病。皮肤表现是JSLE最常见的初始表现之一。典型病变是面部蝶形红斑，但患者有时可能出现非典型病变。在此，我们报告两例JSLE患者，其耳部出现类似的持续性鳞屑性皮疹，作为全身症状之前的先兆性皮肤症状。识别青少年患者中这种非典型且易被低估的皮肤皮疹，可能有助于临床医生做出正确诊断并提供早期干预，这可能有助于预防疾病进展。
