Sukumaran Sukesh, Singh Deepika
Pediatric Rheumatology, Valley Children's Healthcare, Madera, USA.
Cureus. 2022 Feb 16;14(2):e22279. doi: 10.7759/cureus.22279. eCollection 2022 Feb.
Neonatal lupus erythematosus (NLE) is a rare autoimmune entity observed in infants born to mothers with autoantibodies against Ro/SSA and La/SSB. Neonatal lupus may present with rash, heart block, hepatic dysfunction, and cytopenia. Although the condition is usually self-limited, serious sequelae can occur. We present the case of a three-month-old infant who developed multiple erythematous, annular cutaneous lesions at six weeks of age who was ultimately diagnosed with NLE. This case highlights the importance of considering neonatal lupus erythematosus in infants with rashes in the first few months of life. In our case, clinical suspicion and laboratory evaluation helped confirm the diagnosis and facilitate appropriate treatment.
新生儿红斑狼疮(NLE)是一种罕见的自身免疫性疾病,见于母亲体内存在抗Ro/SSA和La/SSB自身抗体的婴儿。新生儿狼疮可能表现为皮疹、心脏传导阻滞、肝功能障碍和血细胞减少。尽管该病通常为自限性,但可能会出现严重的后遗症。我们报告一例3个月大婴儿的病例,该婴儿在6周龄时出现多个红斑性、环形皮肤损害,最终被诊断为新生儿红斑狼疮。该病例强调了在出生后最初几个月出现皮疹的婴儿中考虑新生儿红斑狼疮的重要性。在我们的病例中,临床怀疑和实验室评估有助于确诊并促进适当的治疗。