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Discoid Lupus Erythematosus
Look for atrophic pink in lighter skin tones (lighter skin) to violaceous plaques with adherent scale in active lesions, commonly found in sun exposed areas. In inactive lesions, look for atrophic plaques with central depigmentation (more notable in darker skin) and peripheral hyperpigmentation.
A marker of discoid lupus erythematosus (DLE) is follicular keratosis plugs, which are noted when the scale is removed.
The disk-like plaques of DLE are not only found on the face and ears, but also on the scalp, as seen here. It may cause scarring, pigment changes, and hair loss.
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A marker of discoid lupus erythematosus (DLE) is follicular keratosis plugs, which are noted when the scale is removed.
The disk-like plaques of DLE are not only found on the face and ears, but also on the scalp, as seen here. It may cause scarring, pigment changes, and hair loss.
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JDD C5933 Figure 2(1) DLE 21_3
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AF: Well demarcated scarring alopetic plaque with central erythema that ranges from pink to violaceous. Note the lack of dyspigmetation suggesting a relatively new area of involvement. Don't be fooled by the lack of dyschromia as that is a more mature secondary outcome from ongoing DLE
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