Question

A child with history of fever, photosensitivity, rash sparing nasolabial fold presents to OP. Identify the condition?

• A. SLE
• B. Polymorphous light eruption
• C. Discoid lupus
• D. Skin tuberculosis

Answer 1

The Correct Option is A

The child presented with symptoms consistent with Systemic Lupus Erythematosus (SLE). These symptoms include a history of fever, photosensitivity, and a characteristic rash that spares the nasolabial folds, commonly referred to as a "butterfly rash" or malar rash. This sparing of the nasolabial fold is a classic diagnostic feature of SLE, helping to differentiate it from other potential conditions.

Condition	Key Features
SLE	Fever, photosensitivity, malar rash sparing nasolabial fold
Polymorphous light eruption	Photodistributed rash without sparing
Discoid lupus	Chronic lesions with scarring, often confined to skin
Skin tuberculosis	Variable skin manifestations, often with systemic symptoms or granulomas

Based on the clinical presentation, the diagnosis is consistent with SLE. None of the other options, including polymorphous light eruption, discoid lupus, or skin tuberculosis, fully explain the symptomatology, especially the distinctive facial rash pattern found in SLE.