Chapter 43: Discoid Lupus Erythematosus/Chronic Cutaneous Lupus Erythematosus

Dark-black patches and plaques with central erythema on the mid-face of a dark-skinned woman. (From Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 95-43. Reproduced with permission from Barbara Leppard.)

Hypopigmented patches on the face of a Vietnamese woman secondary to DLE. Note the brighter pink patch along the mid-upper cutaneous lip, signifying areas of active disease. (Reproduced with permission from Wolff K, Johnson RA, Saavedra AP, et al. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 8th ed. New York, NY: McGraw Hill; 2017, Figure 13-16.)

Black plaques on the face and ear, which also has notable follicular plugging. Along the scalp are visible pink and brown plaques with a periphery of black pigmentation. This is a dark-skinned person with chronic untreated disease. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 61-8A.)

Depigmented patches with central bright-pink scaly patches on the face, neck, and ear of a lighter-skinned man. (Reproduced with permission from Soutor C, Hordinsky MK. Clinical Dermatology. New York, NY: McGraw Hill; 2013, Figure 21-5.)