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skINsight
March 2009

Dermoscopy in Active Discoid Lupus

Author Affiliations
 

JAMES M.GRICHNIKMD, PhD

 

ASHFAQ A.MARGHOOBMDALONSCOPEMD

Arch Dermatol. 2009;145(3):358. doi:10.1001/archdermatol.2008.585

The photographs in this article were taken with a polarized light noncontact dermoscope. They show active discoid lupus plaques in the nose of a 36-year-old woman (patient 1, Figure 1) and on the right cheek of a 21-year-old woman (patient 2, Figure 2). Figures 1 and 2 show follicular keratin plugs. Erythema and pigmentary changes are variably present. The patients were treated with diflorasone, 0.05%, ointment, and the keratin plugs cleared. Figure 3 and Figure 4 show patients 1 and 2, respectively, 4 weeks after treatment. A small persistent area of activity is evident in the right lower corner of Figure 3.

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