Abstract
Dermoscopic features of discoid lupus erythematosus (DLE) depend on the stage of the lesions: active lesions include yellow-brown dots and red dots, whereas longstanding inactive lesions show absence of follicular openings, cicatricial milky red or white patches, structureless white and brown areas, and thick arborizing vessels. Loss of pinpoint white dots, blue-gray dots in a speckled pattern, and a peripheral pigmented network have been described on dermoscopy of DLE in dark skin. We report a blue-white veil as a novel dermoscopic feature in 2 cases of biopsy-proven DLE in African-American patients. Dry trichoscopy revealed a central white area surrounded by irregular patchy areas of confluent blue and brown pigment and an overlying white "ground-glass" hue. This corresponds on pathology to the hyperkeratosis overlying interface changes at the dermal-epidermal junction, with pigment incontinence and melanophages in the papillary dermis.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 211-214 |
| Number of pages | 4 |
| Journal | Skin Appendage Disorders |
| Volume | 3 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 1 2017 |
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Keywords
- Cutaneous lupus erythematosus
- Dermatoscopy
- Dermoscopy
- Discoid lupus erythematosus
- Hyperkeratosis
- Pigmented skin lesions
- Skin
- Trichoscopy
ASJC Scopus subject areas
- Dermatology
Cite this
Blue-White Veil as Novel Dermatoscopic Feature in Discoid Lupus Erythematosus in 2 African-American Patients. / Cervantes, Jessica; Hafeez, Farhaan; Miteva, Mariya.
In: Skin Appendage Disorders, Vol. 3, No. 4, 01.10.2017, p. 211-214.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Blue-White Veil as Novel Dermatoscopic Feature in Discoid Lupus Erythematosus in 2 African-American Patients
AU - Cervantes, Jessica
AU - Hafeez, Farhaan
AU - Miteva, Mariya
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Dermoscopic features of discoid lupus erythematosus (DLE) depend on the stage of the lesions: active lesions include yellow-brown dots and red dots, whereas longstanding inactive lesions show absence of follicular openings, cicatricial milky red or white patches, structureless white and brown areas, and thick arborizing vessels. Loss of pinpoint white dots, blue-gray dots in a speckled pattern, and a peripheral pigmented network have been described on dermoscopy of DLE in dark skin. We report a blue-white veil as a novel dermoscopic feature in 2 cases of biopsy-proven DLE in African-American patients. Dry trichoscopy revealed a central white area surrounded by irregular patchy areas of confluent blue and brown pigment and an overlying white "ground-glass" hue. This corresponds on pathology to the hyperkeratosis overlying interface changes at the dermal-epidermal junction, with pigment incontinence and melanophages in the papillary dermis.
AB - Dermoscopic features of discoid lupus erythematosus (DLE) depend on the stage of the lesions: active lesions include yellow-brown dots and red dots, whereas longstanding inactive lesions show absence of follicular openings, cicatricial milky red or white patches, structureless white and brown areas, and thick arborizing vessels. Loss of pinpoint white dots, blue-gray dots in a speckled pattern, and a peripheral pigmented network have been described on dermoscopy of DLE in dark skin. We report a blue-white veil as a novel dermoscopic feature in 2 cases of biopsy-proven DLE in African-American patients. Dry trichoscopy revealed a central white area surrounded by irregular patchy areas of confluent blue and brown pigment and an overlying white "ground-glass" hue. This corresponds on pathology to the hyperkeratosis overlying interface changes at the dermal-epidermal junction, with pigment incontinence and melanophages in the papillary dermis.
KW - Cutaneous lupus erythematosus
KW - Dermatoscopy
KW - Dermoscopy
KW - Discoid lupus erythematosus
KW - Hyperkeratosis
KW - Pigmented skin lesions
KW - Skin
KW - Trichoscopy
UR - http://www.scopus.com/inward/record.url?scp=85051326118&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85051326118&partnerID=8YFLogxK
U2 - 10.1159/000477354
DO - 10.1159/000477354
M3 - Article
AN - SCOPUS:85051326118
VL - 3
SP - 211
EP - 214
JO - Skin Appendage Disorders
JF - Skin Appendage Disorders
SN - 2296-9195
IS - 4
ER -