Iron in infancy and long-term development

摘要

Based on the cutaneous findings and positive antibodies to Sjogren syndrome antigen A/Ro (SSA/ Ro) and Sjogren syndrome antigen B/La (SSB/ La), a diagnosis of neonatal lupus erythematosus (NLE) was established. Results of scalp fungal culture were negative. Electrocardiogram (ECG) and echocardiogram were normal. Photoprotection was recommended and use of hydrocortisone ointment, 2.5%, was started twice daily for 2 weeks. The scalp lesions resolved by 6 months of age with no sequelae. No further manifestations of liver insufficiency developed, and hepatic transaminase levels normalized by 8 months of age. The patient's mother had been diagnosed with mixed connective tissue disease 3 years prior, but her antibody status was uncertain.