Korean J Dermatol.  2012 Nov;50(11):974-977.

Neonatal Lupus Erythematosus Presenting with "Eye Mask" Facial Rash and Telangiectasia

• Sim JH
• Kim YJ
• Bae YI
• Whang KU
• Park YL
• Lee S

Abstract

Neonatal lupus erythematosus (NLE) is an autoimmune disease associated with the maternal anti-SSA/Ro and anti-SSB/La antibodies. NLE is characterized by cutaneous erythema, congenital heart block (CHB), hepatic dysfunction and hematological abnormalities. The characteristic cutaneous lesion is an annular or polycyclic erythematous patch or plaque. Individual annular lesions are often about 1 cm in diameter. We report a case of NLE in a 7-day-old female infant, born of a clinically asymptomatic mother, presenting "eye mask" shape rash and telangiectasia on her face. Periorbital rash with "eye mask" appearance presents in a few of NLE cases, and this cutaneous sign has been emphasized as a diagnostic clue to NLE. Her serological tests revealed high titers of anti-SSA/Ro, anti-SSB/La and antinuclear antibody. Based on these clinical and serological findings, the patient was diagnosed as NLE with characteristic periorbital skin findings.

Keyword

"Eye mask" appearance; Neonatal lupus erythematosus

MeSH Terms

Antibodies
Antibodies, Antinuclear
Autoimmune Diseases
Erythema
Exanthema
Female
Heart Block
Humans
Infant
Lupus Erythematosus, Systemic
Mothers
Serologic Tests
Skin
Telangiectasis
Antibodies
Antibodies, Antinuclear
Heart Block
Lupus Erythematosus, Systemic