• Users Online: 936
  • Print this page
  • Email this page

  Table of Contents  
Year : 2016  |  Volume : 7  |  Issue : 5  |  Page : 458  

Dermoscopy of discoid lupus erythematosus

1 Department of Skin and V.D, Patna Medical College and Hospital, Patna, Bihar, India
2 Consultant Dermatologist and Dermatosurgeon, SKINNOCENCE: The Skin Clinic, Gurugram, India
3 Department of Dermatology, Maulana Azad Medical College, New Delhi, India

Date of Web Publication14-Sep-2016

Correspondence Address:
Dr. Abhijeet K Jha
Department of Skin and V.D, Patna Medical College and Hospital, Patna, Bihar - 800 004
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5178.190493

Rights and Permissions

How to cite this article:
Jha AK, Sonthalia S, Sarkar R. Dermoscopy of discoid lupus erythematosus. Indian Dermatol Online J 2016;7:458

How to cite this URL:
Jha AK, Sonthalia S, Sarkar R. Dermoscopy of discoid lupus erythematosus. Indian Dermatol Online J [serial online] 2016 [cited 2022 Jan 24];7:458. Available from: https://www.idoj.in/text.asp?2016/7/5/458/190493

A 34-year-old female presented with cicatricial alopecia over the scalp with erythema, areas of atrophy and scaling and dyspigmentation [Figure 1]. Dermoscopy (DermLite II hybrid m; 3Gen; polarized mode, 10 × magnification) revealed linear as well as branching vessels, focal keratin plugs, perifolicular whitish halo, rosettes, and structure-less white and brown areas [Figure 2]. Histopathology confirmed the diagnosis of discoid lupus erythematosus. In discoid lupus erythematosus, the most common findings reported by Estrada et al.[1] included white patches, branching capillaries, keratin plugs, and a reduction in the number of follicular ostia. Rosettes vary in size from 0.2–0.5 mm, and are believed to stem from an optical effect of the polarized light and its interaction with adnexal openings that are narrowed or filled with keratin; larger rosettes may be attributed to concentric perifollicular fibrosis.[2]
Figure 1: Cicatricial alopecia over the scalp with eythema, minimal scaling, hyper and depigmentation, and areas of atrophy

Click here to view
Figure 2: Dermoscopy (polarised ×10) showing branching (blue arrow) and linear (white arrow) vessels, and keratin plug (yellow arrow), perifollicular whitish halo (green circle), rosettes (black square), structure-less white areas (red arrow), and structure-less brown areas (black hexagon)

Click here to view

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

   References Top

Duque-Estrada B, Tamler C, Sodré CT, Barcaui CB, Pereira FB. Dermoscopy pattern of cicatricial alopecias resulting from discoid lupus erythematosus and lichen planopilaris. Ann Bras Dermatol 2010;85:179-83.  Back to cited text no. 1
Liebman TN, Rabinovitz HS, Dusza SW, Marghoob AA. White shiny structures: Dermoscopic features revealed under polarized light. J Eur Acad Dermatol Venereol 2012;26:1493-7.  Back to cited text no. 2


  [Figure 1], [Figure 2]

This article has been cited by
1 Dermoscopy of discoid lupus erythematosus a systematic review of the literature
Magdalena Zychowska, Malgorzata Zychowska
International Journal of Dermatology. 2021; 60(7): 818
[Pubmed] | [DOI]
2 Dermatoscopy of inflammatory diseases in skin of color
YasmeenJ Bhat, AbhijeetK Jha
Indian Dermatology Online Journal. 2021; 12(1): 45
[Pubmed] | [DOI]
3 Mucoscopy of discoid lupus erythematosus on lower lip
Manisha Chandela, Rachita Misri, Deepak Jakhar
Indian Dermatology Online Journal. 2020; 11(2): 296
[Pubmed] | [DOI]
4 Clinical and dermoscopic spectrum of discoid lupus erythematosus: novel observations from lips and oral mucosa
Eman Salah
International Journal of Dermatology. 2018;
[Pubmed] | [DOI]
5 Blue-White Veil as Novel Dermatoscopic Feature in Discoid Lupus Erythematosus in 2 African-American Patients
Jessica Cervantes,Farhaan Hafeez,Mariya Miteva
Skin Appendage Disorders. 2017; : 211
[Pubmed] | [DOI]


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article
    Article Figures

 Article Access Statistics
    PDF Downloaded451    
    Comments [Add]    
    Cited by others 5    

Recommend this journal