Neonatal Lupus Erythematosus in Identical Twins, Showing Transient Bullous Lesions

• Published in: Pediatric dermatology Vol. 28; no. 4; pp. 397 - 400
• Main Authors: Nakajima, Kimiko, Wakiguchi, Hiroshi, Kodama, Hajime, Sano, Shigetoshi
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.07.2011; Wiley
• Subjects: Adult; Antibodies, Antinuclear - blood; Antibodies, Antinuclear - immunology; Autoantibodies - blood; Autoantibodies - immunology; Autoantigens - immunology; Biological and medical sciences; Blister - diagnosis; Blister - immunology; Dermatology; Diseases in Twins - blood; Diseases in Twins - immunology; Female; Glucocorticoids - therapeutic use; Humans; Infant, Newborn; Leg Ulcer - diagnosis; Leg Ulcer - immunology; Leukocytes, Mononuclear - immunology; Livedo Reticularis - diagnosis; Livedo Reticularis - immunology; Lupus Erythematosus, Systemic - congenital; Lupus Erythematosus, Systemic - diagnosis; Lupus Erythematosus, Systemic - immunology; Lupus Erythematosus, Systemic - pathology; Medical sciences; Methylprednisolone - therapeutic use; Prednisolone - therapeutic use; Remission, Spontaneous; Ribonucleoproteins - immunology; RNA, Small Cytoplasmic - immunology; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; Sjogren's Syndrome - diagnosis; Sjogren's Syndrome - drug therapy; Sjogren's Syndrome - immunology; Treatment Outcome; Twins, Monozygotic; Human; Immunopathology; Connective tissue disease; Pediatrics; Skin disease; Dermatology; Autoimmune disease; Transitory; Twin; Newborn; Systemic disease; Lupus erythematosus; Lesion
• ISSN: 0736-8046; 1525-1470
• DOI: 10.1111/j.1525-1470.2010.01197.x

:  One of identical twin girls was born with ulcers on her leg, and shortly after birth developed a flaccid blister on the leg. Subepidermal blister with vacuolar degeneration of basal cell layer and the heavy infiltration of mononuclear cells in the upper dermis were observed in the blister lesion. She also had generalized livedo. Her identical twin sister did not exhibit ulcers or blisters, but was born with milia on her limbs. Their mother was found to have lupus erythematosus with positive anti‐Ro/SSA antibodies and developed Sjögren syndrome. We emphasize neonatal blistering and congenital milia unique manifestations of neonatal lupus erythematosus.