Abstract

An 8 month old girl presented with digital discoloration of the middle finger of her right hand and vasculitic skin manefestations.

She was found to have positive nuclear antibodies and antibodies to double stranded DNA, and low C3 and C4 complements.. The

infant was started on oral prednisolone, which was discontinued after six months. At one year of follow up she was asymptomatic,

with negative nuclear antibodies and antibodies to double stranded DNA.

Conclusion: We are presenting this case to highlight the importance of knowledge of very rare manifestations of a common

disease like SLE at presentation in infancy and treatment of critical digital ischemia.