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.