Findings

Note a lesion with erythema, adherent scaling and decreased pigmentation.

Impression

Discoid lupus erythematosus

Clinical Pathologic Correlation
Patients with discoid (shaped like a disc) lupus erythematosus usually do not go on to develop systemic disease. However, the skin lesions are often indistinguishable from those of systemic lupus erythematosus.

Preparation

Fresh

View

Clinical photograph

Specimen

Skin of the scalp

Image Credit

Terence O'Grady, M.D.
Department of Medicine
School of Medicine
University of California, San Diego