LOCALIZED LINEAR BULLOUS ERUPTION OF SYSTEMIC LUPUS-ERYTHEMATOSUS IN A CHILD

A 9-year-old girl newly diagnosed with systemic lupus erythematosus (S LE) developed a localized linear papulovesicular eruption over the rig ht dorsal hand and ulnar forearm. The skin findings were clinically su ggestive of herpes tester, lichen striatus, or lichen planus-lupus ery thematosus overlap. However, histologic, immunofluorescent, immunoelec tron microscopic, and immunoblot studies revealed findings compatible with bullous SLE. Our patient is noteworthy because she is the first o ne reported with bullous SLE presenting in a localized linear pattern. She is also the second-youngest reported patient with bullous SLE.