A 5 year old boy with Cutaneous Lupus

Cutaneous lupus is rare in childhood. A 5-yr old Asian boy presented to the ENT department with a skin lesions involving his left ear. This was initially diagnosed as cellulitis and treated with intravenous antibiotics with no significant improvement. He presented with recurrence of skin lesions. Examination revealed several non tender erythematous, polymorphous skin lesions involving his face, right external ear, scalp, nose and soles. The lesions in the right ear showed areas of necrosis and crusting without discharge. Multiple annular erythematous palpable lesions were present over postero lateral aspects of both soles. The trunk, limbs, genitalia and oral mucosa were spared. Systemic examination was unremarkable. He was growing along his previous weight and height centiles