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Updated: Sep 14, 2025
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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
207
Recognizing ophiasis pattern in discoid lupus: a rare diagnostic challenge
Lamia Alakrash1, Sara Alrabiah2, Sawsan Alharthi2
1Department of Dermatology, King Fahad Medical City, Riyadh.
Dermatology Reports
|July 24, 2025
Summary
Discoid lupus erythematosus (DLE) can rarely present with an ophiasis pattern, typically seen in alopecia areata. Recognizing this rare DLE manifestation is crucial for accurate diagnosis and timely treatment.
Area of Science:
- Dermatology
- Autoimmune Diseases
- Rheumatology
Background:
- Lupus erythematosus encompasses cutaneous and systemic forms.
- Discoid lupus erythematosus (DLE) is the most common chronic cutaneous lupus subtype.
- The ophiasis pattern is a recognized presentation in alopecia areata.
Purpose of the Study:
- To report a rare case of DLE with an ophiasis pattern.
- To highlight the importance of identifying atypical DLE presentations.
- To increase dermatologist awareness of diverse DLE manifestations.
Main Methods:
- Case report of a 51-year-old Saudi female patient.
- Detailed medical history including systemic lupus erythematosus (SLE).
- Clinical observation of DLE with ophiasis pattern.
Main Results:
- A rare case of discoid lupus erythematosus exhibiting the ophiasis pattern was identified.
- The patient had a complex medical history, including systemic lupus erythematosus.
- This presentation deviates from typical DLE morphology.
Conclusions:
- Atypical presentations of DLE, such as the ophiasis pattern, require careful consideration.
- Misdiagnosis and treatment delays can occur with unusual DLE manifestations.
- Further research into rare DLE patterns is warranted to improve clinical recognition.
