Overlap syndrome: Juvenile dermatomyositis with systemic lupus erythematosus and lupus hepatitis in a child: An uncommon presentation

Abstract

Autoimmune connective tissue disease in children carries a unique management challenge to the treating physician due to the potential years of disease burden and resultant complications. Early diagnosis and treatment positively impact disease course. Overlap syndrome in children is a rare entity. We report a case of juvenile dermatomyositis with systemic lupus erythematosus who on follow-up developed lupus hepatitis. Lupus hepatitis in children with overlap syndrome is not a well-known entity and there is paucity of literature describing this association.