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Contributor

Shahbaz A. Janjua, MD

Diagnosis

lupus erythematosus, subacute cutaneous lupus erythematosus

Body Site

neck

Age

38 years

Pigmentation

medium

Organization

confluent

Color

red purple

Morphology

papulosquamous (bump, scale)

Pattern

symmetric generalized, disseminated sun exposed areas

Comments

This 38-year-old man developed widepspread pruritic violaceous papules and plaques in sun exposed areas including the cheeks, nose, forehead, scalp, nape of neck, ear lobes, dorsa of the hands, wrists, and lower forearms about one year earlier. Some of the small papules became confluent to form large plaques. He also had arthralgias of the small joints of his hands and positive antinuclear and anti-Ro antibodies. He improved with strict sun protection measures, oral hyroxychloroquine, tapering predsinolone and topical steroids.

Description

multiple, symmetric, red to violaceous slightly scaly confluent papules and plaques

Categories

cutaneous sign of systemic disease collagen vascular disease papulosquamous eruptions

Image Added

6/19/2003 12:27:53

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PubMed Medline Plus Medscape

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