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Updated: Jun 5, 2026
05:39
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
Hypertrophic discoid lupus erythematosus.
Rachel Farley-Loftus1, Sarina B Elmariah, Jonathan Ralston
1Department of Dermatology, New York University, New York, NY, USA.
Dermatology Online Journal
|December 18, 2010
Summary
Hypertrophic discoid lupus erythematosus presents as thick, scaly plaques, often on the face. This case highlights its distinct features and diagnostic confirmation through biopsy.
Area of Science:
- Dermatology
- Immunology
Background:
- Discoid lupus erythematosus is a chronic autoimmune condition affecting the skin.
- Hypertrophic discoid lupus erythematosus is a less common variant characterized by hyperkeratosis.
Observation:
- A 43-year-old male presented with symmetrical verrucous plaques on his face.
- Initial misdiagnosis as acne vulgaris led to treatment with antibiotics and topical steroids.
Findings:
- Biopsy confirmed the diagnosis of hypertrophic discoid lupus erythematosus.
- The case underscores the importance of considering this variant in facial plaque presentations.
Implications:
- Accurate diagnosis is crucial for appropriate management of hypertrophic discoid lupus erythematosus.
- Understanding this variant aids in differentiating it from common facial dermatoses.
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