A comedonal variant of chronic cutaneous lupus erythematosus: Case report and literature review

Abstract

Cutaneous lupus erythematosus (LE) is subdivided into acute, subacute, and chronic forms, each with distinct morphologies. Chronic cutaneous lupus erythematosus (CCLE) most commonly presents in the form of discoid lupus erythematosus (DLE) with pink-to-violaceous coin-shaped plaques with hyperkeratosis and follicular plugging that heal with atrophy, scarring, hyperpigmentation, and telangiectasias. Lesions most commonly occur on the face, ears, scalp, and in sun-exposed areas. On hair-bearing skin, DLE results in cicatricial alopecia.