Discoid lupus erythematosus

From dermoscopedia

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 Editor: Aimilios Lallas

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Description This chapter describes dermoscopy of discoid lupus erythematosus
Author(s) Sabine Ludwig · Aimilios Lallas
Responsible author Aimilios Lallas→ send e-mail
Status unknown
Status update July 11, 2017
Status by Ralph P. Braun


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Discoid lupus erythematosus

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 vessels, pigmentation structures and whitish structureless areas prevail.[1] This distinct dermoscopic pattern is useful for discriminating discoid lupus erythematosus from lupus pernio (cutaneous sarcoidosis) and lupus vulgaris (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 vessels.[2]



References

  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.