Recurrent lupus profundus-like panniculitis associated with streptococcal throat infections in an immunocompetent child

We report the unusual case of an immunocompetent child in whom recurrent lupus profundus-like panniculitis associated with group A Streptococcus throat infections developed. Her skin findings were independent of the presence of bacterial organisms and resistant to antibiotics alone, suggesting an inflammatory, immune-mediated process. Surprisingly, histopathology testing found characteristics of lupus erythematosus profundus in an acute panniculitis stage.