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Image Number 4814 (Discoid lupus erythematosus)

 
Morphology:
Red,scaly

Diagnosis: Discoid lupus erythematosus

Site: Face

Sex: F

Age: 32

Type:

Description: Photosensitive rash

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

 Mildly pruritic, red scaly rash involved the butterfly area of the face in addition to the lower lip of 6 months duration. The rash was covered with firmly adherent scales that on forciful removal showed "Carpet-tack sign". She has been treated with oral hydroxychloroquine 200 mg twice daily plus potent topical CS applied once daily in addition to a 30+ broadspectrum sunscreen applied on exposure to sun light. She showed an excellent improvement within 6 weeks.



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