Discoid lupus especially likes the helix of the ear children also may have so called lupus hairs which are fragile and break easily.
Carpet tacking lupus.
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.
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Atrophic scars and dyspigmentation remain after the active lesions resolve.
Discoid lupus erythematosus dle.
If you lift up these crusts or scabs you see what s called carpet tacking little pinpoints of bleeding underneath he said.
Lupus erythematosus profundus affects approximately 1 to 2 of patients with le.
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The characteristic carpet tack scale associated with lesions indicates follicular involvement and the disease can result in permanent scarring alopecia.
Hypertrophic warty lesions are seen most often in the head and neck region and on palms and soles.
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The discoid rash of lupus is less common and causes crusts or scabs that scar.
If the scale from these follicular areas is lifted conical projections may extend downward giving the carpet tack sign.
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The dyspigmentation of older lesions often presents as central hypopigmentation and peripheral hyperpigmentation.
Moreover the depigmentation in fully evolved lesions can be disfiguring especially in dark skinned individuals.
By removing the adherent scale follicle sized keratotic spikes similar to carpet tacks can be seen carpet tack sign.
Dilated follicles plugged with keratin or follicular plugging are common and can best be seen on the scalp.
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