Juvenile Systemic Lupus Erythematosus Presenting Only as Nonscarring Alopecia

January 2022 in “ Indian Journal of Paediatric Dermatology ”

Reena Rai, NM Vinitha, GUma Maheswari

nonscarring alopecia trichoscopy histopathology ANA complement levels juvenile systemic lupus erythematosus JSLE nonscarring hair loss antinuclear antibodies juvenile lupus

TLDR A 13-year-old girl was diagnosed with juvenile lupus, showing only hair loss as a symptom.

A 13-year-old girl presented with nonscarring alopecia, which was initially misdiagnosed as alopecia areata. Trichoscopic and histopathological examinations revealed features consistent with systemic lupus erythematosus (SLE), including basal vacuolar damage and decreased hair shaft pigmentation. Blood tests confirmed the diagnosis with positive ANA and low complement levels. The patient was treated with systemic steroids and mycophenolate mofetil, resulting in decreased hair fall and regrowth after 3 months. This case highlights the importance of considering SLE in patients with nonscarring alopecia, even in the absence of other systemic symptoms.

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