Tuesday, July 10, 2012

Discoid Lupus of the Scalp

Clues that this was DLE:  Follicular plugging, an obvious scarring process, hyper and hypopigmentation, irregular borders, and, at the 3 o'clock position a satellite lesion which has the classic hypopigmentation in the center with a hyperpigmented rim.  When you talk about this condition with the patients, reinforce they are "allergic to the sun".  You really need to hammer this point home.  I know this was a layup for most of you pros, so I won't belabor it, but this is a pretty good example.  p.s.  the singer Seal has DLE.

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