Lupus erythematosus profundus affects approximately 1 to 2 of patients with le.
Carpet tacking lupus.
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Carpet tack sign you pdf perforation of paper with pen discoid lupus erythematosus dle discoid lupus erythematosus clinicalpics of.
There are follicular hyperkeratotic plugs causing a carpet tack appearance as they project from the undersurface of the scale when it is removed from advanced lesions.
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The discoid rash of lupus is less common and causes crusts or scabs that scar.
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Hypertrophic warty lesions are seen most often in the head and neck region and on palms and soles.
The first morphological sign of discoid lupus erythematosus is a well defined annular erythematous patch or plaque of varying size followed by follicular hyperkeratosis which is adherent to the skin.
The dyspigmentation of older lesions often presents as central hypopigmentation and peripheral hyperpigmentation.
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Discoid lupus especially likes the helix of the ear children also may have so called lupus hairs which are fragile and break easily.
By removing the adherent scale follicle sized keratotic spikes similar to carpet tacks can be seen carpet tack sign.
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Dilated follicles plugged with keratin or follicular plugging are common and can best be seen on the scalp.
Carpet tack sign discoid lupus.
The adherent scale with its prominent keratotic follicular plugs is similar to carpet tacks the so called tin tack sign.
The characteristic carpet tack scale associated with lesions indicates follicular involvement and the disease can result in permanent scarring alopecia.
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Discoid lupus erythematosus dle.
Atrophic scars and dyspigmentation remain after the active lesions resolve.
Moreover the depigmentation in fully evolved lesions can be disfiguring especially in dark skinned individuals.