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Image Number 259 (Discoid lupus erythematosus)


Diagnosis: Discoid lupus erythematosus

Site: Cheek

Sex: F

Age: 39

Type: Clinical and Histology

Description: Marked damage to the basal layer of epidermis

Submitted by: Ian McColl

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Differential Diagnosis

History: Discoid lupus erythematosus can present in a more tumid form such as the lesions on this lady's cheeks and nose.She has the more typical red scaly lesions on her chest wall and features of scarring alopecia in her scalp.The facial lesions responded rapidly to a two week course of strong topical steroid and full sun protection measures.If treated early enough scarring on the skin itself can be minimised but some hypopigmentation may persist.

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