Table
I: Main differences between DLE in
children and adults (1-7)
|
|
DLE
in children |
DLE
in adults |
|
Epidemiology |
No female predominance/
photosensitivity + |
Female predominance/
photosensitivity +++ |
|
Clinically |
Localized DLE |
Localized DLE |
|
Cutaneous histology |
Epidermal damages +/- BMZ anomalies Dermal lymphocytic infiltration.
T helper cells +++ |
Epidermal damages ++ BMZ anomalies Dermal lymphocytic infiltration.
T helper and suppressor cells +++ |
|
DIF in lesional skin |
Granular IgG, IgM or complement
deposits along BMZ (80%) |
Granular IgG, IgM or complement
deposits along BMZ (50 to 90%) |
|
TTT/Outcome |
Photoprotection, TC+ +/- AM/ Frequent progression to SLE
(about 30%) |
Photoprotection, TC+ +/- AM/ Possible progression to SLE
(6%) |
BMZ: Basement
membrane zone, DIF: Direct immunofluorescence, TTT: Treatment, AM:
Antimalarials, TC: Topical corticosteroid