Baskaran Narayanan, Bharti Prashant, Arava Sudheer, Khandpur Sujay
Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Department of Pathology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Indian Dermatol Online J. 2023 Nov 24;15(4):634-636. doi: 10.4103/idoj.idoj_288_23. eCollection 2024 Jul-Aug.
Linear and annular lupus panniculitis of the scalp is a rare form of lupus panniculitis recently reported in literature. It presents as linear or annular or arciform areas of nonscarring alopecia of the scalp with minimal surface changes. We report a 4-year-old Indian female child with arciform erythematous plaque over the forehead extending on the scalp with nonscarring alopecia with annular erythematous plaque over the cheek. Histology showed lobular lymphocytic panniculitis with abundant mucin deposition. Antinuclear antibody and systemic screen for lupus were negative. After treatment with oral corticosteroids, complete remission was achieved with good regrowth of scalp hair with no relapse during the follow-up period of 6 months. This is the youngest reported case of linear and annular lupus panniculitis of the scalp.
头皮线性和环形狼疮性脂膜炎是一种最近文献报道的罕见的狼疮性脂膜炎形式。它表现为头皮上线性、环形或弧形的非瘢痕性脱发区域，表面变化极小。我们报告了一名4岁印度女童，前额有弧形红斑斑块，延伸至头皮，伴有非瘢痕性脱发，脸颊有环形红斑斑块。组织学显示小叶性淋巴细胞性脂膜炎，伴有大量粘蛋白沉积。抗核抗体和狼疮的系统筛查均为阴性。口服糖皮质激素治疗后，完全缓解，头皮毛发良好再生，在6个月的随访期内无复发。这是报道的最年轻的头皮线性和环形狼疮性脂膜炎病例。
