JAMES M.GRICHNIKMD, PhD
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.
Lopez-Tintos BO, Garcia-Hidalgo L, Orozco-Topete R. Dermoscopy in Active Discoid Lupus. Arch Dermatol. 2009;145(3):358. doi:10.1001/archdermatol.2008.585