Frontiers in Pediatrics (Aug 2024)

Fever, convulsions, and rash: a case report of neonatal lupus erythematosus with macrophage activation syndrome

  • Jing Yu,
  • Guohui Xue,
  • Xiaohui Liu,
  • Chunlei Zhan,
  • Jinshi Huang,
  • Jinshi Huang

DOI
https://doi.org/10.3389/fped.2024.1381493
Journal volume & issue
Vol. 12

Abstract

Read online

Neonatal lupus erythematosus (NLE) is a rare acquired autoimmune disease associated with the entry of maternal antibodies into the fetal circulation via the placenta during pregnancy. Macrophage activation syndrome (MAS) is a severe hyperinflammatory disease. Herein, we present a case of NLE with MAS accompanied by fever, convulsions, and rash. High-dose gamma globulin and non-shock doses of steroids can be used as a first-line treatment for NLE with MAS. Fever can be a clinical manifestation of NLE, especially cutaneous lupus. Rash recession could be used to judge whether the disease is effectively controlled by treatment.

Keywords