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Updated: Feb 17, 2026

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
White rosettes in discoid lupus erythematosus: a new dermoscopic observation
Balachandra S Ankad1, Swapnil D Shah2, Keshavmurthy A Adya3
1Department of Dermatology, S. Nijalingappa Medical College, Karnataka, India.
Abstract:
White rosettes are shiny white structures seen as four oval-shaped points that come together in the center. They resemble four-leaf clover [1]. Earlier it was thought they were specific for actinic keratosis and squamous cell carcinoma, but they are noted in many other conditions [2]. With polarized light dermoscopy, it is evident that rosettes are seen only and they are due to the optical effect between polarized light and follicular structures [3]. Here, authors describe cases of discoid lupus erythematosus (DLE) demonstrating rosettes under polarized dermoscopy.
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