Background：SLE is a multisystem disease. Skin manifestations are some of the most common symptoms. Objective：Our purpose was to study in detail the cutaneous lesions in childhood SLE. Methods：We assessed the mucocutaneous signs in 19 children with SLE seen during a 10 years period. Results：1. The female:male ratio was 3.8:1. 2. Cutaneous manifestation(79%) was the third common finding, next to ANA positivity and fever. 3. The skin changes noted were malar rash(58%), oral ulcer(32%), alopecia(26%), photosensitivity(21%). 4.There was no case of subacute cutaneous LE and bullous LE. Conclusion：Skin changes play a prominent part in SLE and may provide helpful diagnostic information. In this study, malar rash was the most common manifestation. (Korean J Dermatol 2000;38(5)：607~611)