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Dramatic Response of Scarring Scalp Discoid Lupus Erythematosus (DLE) to Intravenous Methylprednisolone, Oral Corticosteroids, and Hydroxychloroquine in a 5-Year-Old Child
Authors:Paivi MH Miettunen  MD  §    rea Bruecks  MD      Todd Remington  MD    
Institution:Division of Rheumatology, Department of Pediatrics;, Department of Pathology;, Division of Dermatology, Department of Internal Medicine;, Alberta Children's Hospital;, University of Calgary, Calgary, Canada
Abstract:Abstract:  Discoid lupus erythematosus (DLE) is rare in childhood. We report the case of a 5-year-old girl who presented with erythematous scaly plaques, with scarring alopecia, involving approximately 40% of her scalp. Histopathology confirmed the diagnosis of DLE. Treatment with intravenous methylprednisolone, hydroxychloroquine, oral prednisone, topical corticosteroids, and sunscreen lead to reversal of scarring alopecia and re-growth of hair.
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