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Year : 2016  |  Volume : 17  |  Issue : 2  |  Page : 139-141

Bullous systemic lupus erythematosus: An uncommon diagnosis in an 8-year-old girl

Department of Dermatology, Venereology and Leprosy, School of Tropical Medicine, Kolkata, West Bengal, India

Correspondence Address:
Dipayan Sengupta
Department of Dermatology, Venereology and Leprosy, School of Tropical Medicine, 108 Chittaranjan Avenue, Kolkata - 700 073, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2319-7250.172468

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Bullous systemic lupus erythematosus (BSLE) is a rare manifestation of SLE, characterized clinically by tense bullae involving photo-exposed areas and histologically by subepidermal bullae with predominantly neutrophilic infiltrate and immunoglobulin (IgG, IgA, and IgM) and C3 deposition at the dermo-epidermal junction indirect immunoflurosence. Specific diagnostic criteria for this subtype have been developed. However, the presentation in children is relatively uncommon. We report an 8-year-old girl diagnosed by histopathology and immunological examination as a case of BSLE without any clinical feature of SLE except photosensitivity. This highlights the importance of considering BSLE as a differential diagnosis in case of children presenting with tense bullae.

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