Discoid lupus erythematosus

From dermoscopedia

Main PageInflammoscopyDiscoid lupus erythematosus
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 Authored by: Sabine Ludwig     ·  Aimilios Lallas

 Keywords:   lupus · discoid lupus · discoid lupus erythematosus
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Description This chapter describes dermoscopyDermoscopy is a non invasive diagnostic method. of discoid lupus erythematosusis a chronic skin condition of sores with inflammation and scarring favouring the face, ears, and scalp and at times on other body areas. These lesions develop as a red, inflamed patch with a scaling and crusty appearance. The centre areas may appear lighter in colour with a rim darker than the normal skin.
Author(s) Sabine Ludwig · Aimilios Lallas
Owner Aimilios Lallas→ send e-mail
Status released
Status update July 11, 2017
Status by Ralph P. Braun


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Discoid lupus erythematosusis a chronic skin condition of sores with inflammation and scarring favouring the face, ears, and scalp and at times on other body areas. These lesions develop as a red, inflamed patch with a scaling and crusty appearance. The centre areas may appear lighter in colour with a rim darker than the normal skin.

Dermoscopic criterias differ depending on the stage of progression of discoid lupus erythematosus. In early lesions, perifollicular whitish halo, follicular plugging and white scales are the predominant features, while in longer-standing lesions telangiectatic vesselsThis glossary term has not yet been described., pigmentation structures and whitish structureless areas prevail.[1] This distinct dermoscopic pattern is useful for discriminating discoid lupus erythematosus from lupus pernio (cutaneous sarcoidosisThis glossary term has not yet been described.) and lupus vulgarisThis glossary term has not yet been described. (cutaneous tuberculosis). The latter diseases lack the predominant follicular abnormalities of discoid lupus erythematosus, and display a characteristic pattern consisting of orange-yellowish areas/globules and branching arborizing vesselsanalytic term is branched vessels; Bright red sharply in focus large or thick diameter vessels dividing into smaller vessels; BCC.[2]

ReferencesThis glossary term has not yet been described.
  1. Lallas et al.: Dermoscopy of discoid lupus erythematosus. Br. J. Dermatol. 2013;168:284-8. PMID: 22985425. DOI.
  2. Brasiello et al.: Lupus vulgaris: a new look at an old symptom--the lupoma observed with dermoscopy. Dermatology (Basel) 2009;218:172-4. PMID: 19060460. DOI.