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Updated: Jun 30, 2025

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
Waxy papules, infiltrated alopecic plaques, and shin ichthyosis
Kriti Bhat1, Rinkal Madhudiya1, Poonam A Elhence2
1Department of Dermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur, India.
Abstract:
A 38-year-old male presented with waxy papules, plaques over the neck and extremities, and ichthyotic scales over the lower limbs. Skin biopsy revealed a dense medium-sized lymphocytic infiltrate in the dermis, with perifollicular accentuation and focal exocytosis into the follicular epithelium with strong positivity for CD 3, 4, and 5. Considering the clinicopathological correlation, a diagnosis of follicular mycosis fungoides (FMF) was made. It is a variant of classic mycosis fungoides (MF) where atypical cells invade the follicular epithelium.
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