A 32-year-old black man with a history of hypertension and a 4-year history of discoid lupus erythematosus (LE) of the face, scalp, and ears presented with a 2-month history of an asymptomatic papular eruption on his trunk and arms. He also complained of a 4-month history of fatigue, arthralgias, and numbness in his fingers. His medications included enalapril maleate, hydroxychloroquine sulfate, and clobetasol propionate ointment. Physical examination revealed scattered hypopigmented, firm, smooth, papules and nodules on his upper chest area, back, and arms (Figure 1). A biopsy specimen of a lesion was stained with hematoxylin-eosin (Figure 2).
Jih DM, Somach SC. Hypopigmented Papules and Nodules on the Trunk and Arms—Quiz Case. Arch Dermatol. 2004;140(1):121-126. doi:10.1001/archderm.140.1.121-e