A 42-year-old woman presents with a two-year Facial Rash, initially treated as acne. Discover the key findings that led to the correct diagnosis.
A 42-year-old woman with a 20-pack-year smoking history presented to the dermatology clinic with a 2-year history of a facial rash. One year before presentation, the patient’s rash had been evaluated without a request for removal of her makeup, and treatment for possible acne had been recommended. At the current presentation, a skin examination was performed after removal of her makeup. An indurated plaque with central hypopigmentation, dilated follicular ostia, and alopecia over the right eyebrow were observed, along with a plaque with scattered areas of hyperpigmentation and hypopigmentation on the right cheek. On the left cheek, there were scattered nodules, open comedones, and areas of hyperpigmentation and hypopigmentation. What is the most likely diagnosis?
What is the most likely diagnosis?
Autoimmune, Dermatology, Discoid lupus erythematosus, Facial Rash, Lupus Band Test
