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Image Number 2480 (Discoid lupus erythematosus)

 
Morphology:
Red,scaly

Diagnosis: Discoid lupus erythematosus

Site: Face

Sex: F

Age: 35

Type:

Description: One month post treatment.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History:

A middle aged lady presented with a slightly pruritic, red, scaly butterfly rash involved the face oif six months duration. There were no other associalted skin or systemic manifestations and relavent serological tests were normal. It was difficult to differentiated DLE from rosacea in this case. However, skin biopsy was in favor of DLE and she responded well to on month therapy with oral hydroxychloroquine (200 mg per day) plus topical mometasone cream once daily (see third image).  



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