Dramatic Response of Scarring Scalp Discoid Lupus Erythematosus to Intravenous Methylprednisolone, Oral Corticosteroids, and Hydroxychloroquine in a 5-Year-Old Child

May 2009 in “ Pediatric Dermatology ”

Paivi Miettunen, Andrea K. Bruecks, Todd Remington

discoid lupus erythematosus DLE scarring alopecia methylprednisolone hydroxychloroquine prednisone topical corticosteroids sunscreen scarring hair loss oral corticosteroids

TLDR A 5-year-old girl's scalp scarring and hair loss from lupus improved with specific medications.

A 5-year-old girl with discoid lupus erythematosus (DLE) presented with erythematous scaly plaques and scarring alopecia covering 40% of her scalp. Histopathology confirmed the diagnosis. Treatment with intravenous methylprednisolone, hydroxychloroquine, oral prednisone, topical corticosteroids, and sunscreen resulted in the reversal of scarring alopecia and hair regrowth.

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