Generalized Micropapular Eruption in a Teenager

Erythematous annular plaques in a patient with systemic lupus erythematosus

“…Histologic findings include a neutrophilic infiltrate with leukocytoclasia together with vacuolar alteration of the dermoepidermal junction. No vasculitis or marked papillary dermal edema are found 3,4 . DIF is positive in about half of patients, showing immunoglobulin and/or complement staining along the basement membrane.…”

“…No vasculitis or marked papillary dermal edema are found. 3,4 DIF is positive in about half of patients, showing immunoglobulin and/or complement staining along the basement membrane. Most cases follow a granular DIF pattern unlike our patient in which it is linear.…”

“…Prognosis depends on aggressiveness of underlying SLE 4 . Skin lesions have been reported to improve after systemic or topical corticosteroids, hydroxychloroquine, dapsone, and mycophenolate mofetil 3 …”

“…Prognosis depends on aggressiveness of underlying SLE. 4 Skin lesions have been reported to improve after systemic or topical corticosteroids, hydroxychloroquine, dapsone, and mycophenolate mofetil. 3 In conclusion, it is important to recognize this rare form of cutaneous lupus because it is associated with systemic disease and may be the initial manifestation of SLE.…”