Case Number : Case 679 - 21 Jan Posted By: Guest

DLE

discoid lupus erythematosus

DLE

Lymphocytic scarring alopecia due to discoid lupus erythematosus, typically occurring to a middle aged woman. Clues are pronounced epidermal atrophy, basement membrane thickening and pigmentary incontinence.

Agree, DLE

Agree, DLE

[b]Favor scarring alopecia, DLE type.[/b]
Loss of sebaceous glands, superficial and deep reticular dermal perivascular inflammation, compact hyperkeratosis, hypergranulosis, and features RR mentioned. (There is preservation of follicles but these are tangentially oriented and likely represent proper punch at a lesion edge). Patient age is representative. Horizontal sections are likely going to be non-contributory given the above features.

DLE.

DLE

[quote name='Jim Davie MD' timestamp='1358778934']
[b]Favor scarring alopecia, DLE type.[/b]
[color=#1C2837][font=arial, verdana, tahoma, sans-serif][size=4]Loss of sebaceous glands, superficial and deep reticular dermal perivascular inflammation, compact hyperkeratosis, hypergranulosis, and features RR mentioned. (There is preservation of follicles but these are tangentially oriented and likely represent proper punch at a lesion edge). Patient age is representative. Horizontal sections are likely going to be non-contributory given the above features.[/size][/font][/color]
[/quote]
Agree that transverse (horizontal) sections wouldn´t be helpful. Here this grossing technique would give rise to a diagnosis of pseudopelade of Brocq, an inespecific form of end-stage scarring alopecia.

Agree, lupus.

Hi everyone. It is nice to be back after a vacation in France. Obviously you are all correct. This is classical scarring alopecia due to DLE. It is nice to see so many people posting today.