Eritema periorbitario en «ojos de mapache»: clave diagnóstica de lupus neonatal

  1. Alba Gómez-Zubiaur
  2. I. Polo Rodríguez
  3. Ana Belén Piteiro Bermejo
  4. A. Cabrera Hernández
  5. Lidia Trasobares Marugán
Revista:
Acta pediátrica española

ISSN: 0001-6640

Any de publicació: 2017

Volum: 75

Número: 9-10

Pàgines: 164-165

Tipus: Article

Altres publicacions en: Acta pediátrica española

Resum

Neonatal lupus erythematosus is an antibody-mediated dermatosis that is acquired transplacentally. Skin and heart are the most frequently affected organs; in 10% of cases, both are involved. Cutaneous lesions disappear spontaneously whereas heart in-volvement persists without improvement and is lethal (in 10% of cases). Periorbital “raccoon-eye” erythema is a characteristic form of presentation when skin involvement is present. We report the case of a 2-month-old male with very representative le-sions of this entity, in order to facilitate its recognition. Due to clinical suspect, the anamnesis can be oriented in both the mother and the infant and the pertinent complementary studies of autoimmunity and electrocardiography will be carried out, which will confirm the diagnosis and rule out a possible cardiac involvement.