63 y/o female with no significant past medical history except discoid lupus complaining of new firm skin spots on left cheek for a few months (progressing). Non-tender. Non-pruritic. No pus or discharge noted. No new use of skin products or skin procedures. Has decent daily sun exposure but uses sunscreen. Patient is wondering if likely nothing or worth a biopsy? Could this be discoid lupus flare developing? (prior lesions on scalp and behind the ear). Denies fevers, chills, nausea, vomiting, or diarrhea.

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Discoid lupus erythematosus (DLE) It is a chronic skin condition of sores with inflammation and scarring favoring the face, ears, and scalp and at times on other body areas. These lesions develop as a red, inflamed patch with a scaling and crusty appearance. . It is possible that hormones, genetic factors, and environmental triggers can all play a part in the development of the disease. Examples of environmental triggers include exposure to ultraviolet light and stress.

RED INFAMMED PATCHES..WITH.. SCALING AND.. CRUSTY APPEARANCE.. ? DLE..

Appearance of Discoid Lupus erythematosus

Discoid lupus erythematous

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SUGGESTIVE OF DISCOID LUPUS ERYTHEMATOSUS...

Exposure to ultraviolet sunrays triggers the discoids yes it is flaredup DLE

Thanx dr Vipin Bihari Jain
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Seems as DISCOID LUPUS ERYTHEMATOUS

Thanks Dr. Vipin Bihari Jain
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Yes DLE

Discoid lupus erythrematosis

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