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Lupus Erythematosus in a Newborn Infant (vs Congenital Ectodermal Defect). Presented by Stanton B. May, MD, and William B. Reed, MD.
The patient is a white 3-month-old male infant. The present skin disorder was present at birth, and is unchanged.The mother had a normal pregnancy and the infant was full-term. An older sibling presented a similar eruption of the forehead and scalp which cleared with local therapy in two months.
There is a diffuse red to pink discoloration with atrophic patches of the scalp, the face about the eyelids, the sides of the neck, and the upper midback. In these atrophic depressed patches the skin is thinned and the vessels are more easily seen. In some areas, a yellow scale is noted.
Paul Hirsch, MD: The microscopic slide available for review is not specifically diagnostic for discoid lupus erythematosus as one usually associates the entity in the
THE METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES. Arch Dermatol. 1966;94(3):379. doi:10.1001/archderm.1966.01600270129029