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Discoid lupus erythematosus presenting as an unusual giant plaque on face
Corresponding author: Dr. Annabel Jose, Department of Dermatology, Father Muller Medical College, Kankanady, Mangalore, India. annabeljose20@gmail.com
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Received: ,
Accepted: ,
How to cite this article: Jose A, Bhat RM, D’Souza MJ. Discoid lupus erythematosus presenting as an unusual giant plaque on face. Indian J Dermatol Venereol Leprol. doi: 10.25259/IJDVL_1073_2024
A woman in her forties presented with lesions over the face for the past 10 years. It initially presented as pea-sized lesions over the nose and gradually progressed in size. The delay in seeking medical advice was attributed to the superstitions. Examination revealed erythematous hyperkeratotic plaque over the forehead, nose, and cheeks with follicular plugging and adherent crusting [Figure 1]. Dermoscopy showed whitish scales, red globules, and white structureless areas. A clinical diagnosis of discoid lupus erythematosus was proven histopathologically that showed follicular plugging, dense lymphocytic infiltration, and vacuolar degeneration of basal keratinocytes. The patient improved following oral hydroxychloroquine, topical potent corticosteroids and photoprotection.
- Solitary erythematous to the hyperpigmented plaque with overlying adherent crusts over the forehead, nasal bridge extending to cheeks.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
