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Discoid Lupus Erythematosus in a 44-Year-Old Woman
Concern about this flat, tan, atrophic, well-marginated, dime-sized lesion prompted a 44-year-old woman to seek medical advice. The lesion, which was mildly pruritic, had appeared 2 months earlier.
Concern about this flat, tan, atrophic, well-marginated, dime-sized lesion prompted a 44-year-old woman to seek medical advice. The lesion, which was mildly pruritic, had appeared 2 months earlier.
The patient had no significant medical history and reported no other symptoms. An incisional biopsy of the lesion was interpreted by a dermatopathologist as discoid lupus erythematosus.
Robert P. Blereau, MD of Morgan City, La, reports that the complete blood cell count, urinalysis, and erythrocyte sedimentation rate were all normal. Antinuclear antibody and serologic studies yielded negative results.
This patient was reassured that systemic lupus erythematosus is rarely associated with such skin lesions. She was cautioned to avoid sunlight and advised to use a sunscreen. The pruritus may be treated with topical fluorinated corticosteroids, but overuse of these preparations must be avoided.
Atopic Dermatitis: The Pipeline and Clinical Approaches That Could Transform the Standard of Care
September 24th 2025Patient Care tapped the rich trove of research and expert perspectives from the Revolutionizing Atopic Dermatitis 2025 conference to create a snapshot of the AD care of the future.
