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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
121
[A man with grouped papules on his shoulder]
Emma van den Berg1,2, Martin de Gast3, Robert L van Leeuwen1
1Alrijne Ziekenhuis,afd. Dermatologie, Leiden.
Nederlands Tijdschrift Voor Geneeskunde
|August 31, 2023
Summary
A man diagnosed with cutaneous segmental neurofibromatosis type 1 presented with a skin spot. Histopathology confirmed the rare condition, highlighting the importance of thorough dermatological examination.
Area of Science:
- Dermatology
- Medical Genetics
Context:
- A 58-year-old male patient presented to a dermatology clinic with a localized skin lesion.
- Physical examination revealed unexpected soft-elastic papules on the left shoulder, prompting further investigation.
Purpose:
- To diagnose the underlying cause of the cutaneous lesions observed during a routine dermatological examination.
- To confirm the diagnosis through histopathological analysis.
Summary:
- A patient initially presenting with a single spot near the ear was found to have multiple papules on his shoulder.
- A biopsy was performed, and histopathological examination confirmed the diagnosis of cutaneous segmental neurofibromatosis type 1.
Impact:
- This case underscores the importance of comprehensive physical examinations in dermatology, as initial complaints may mask broader underlying conditions.
- The diagnosis of this rare form of neurofibromatosis type 1 highlights the need for awareness among clinicians regarding diverse presentations of genetic skin disorders.
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