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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 95

Pellagroid discoid lupus erythematosus


Department of Dermatology & S.T.D., Lady Hardinge Medical College & Associated Hospitals, New Delhi 110 001, India

Date of Submission19-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Sarita Sanke
Department of Dermatology & S.T.D., Lady Hardinge Medical College & Associated Hospitals, New Delhi 110 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2157_19

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How to cite this article:
Sanke S, Yadav A. Pellagroid discoid lupus erythematosus. Indian J Med Res 2020;152, Suppl S1:95

How to cite this URL:
Sanke S, Yadav A. Pellagroid discoid lupus erythematosus. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:95. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/95/316753

Patient's consent obtained to publish clinical information and images.


A 48 yr old male, farmer by occupation, presented to us at the Dermatology outpatient department of Lady Hardinge Medical College and Associated Hospitals, New Delhi, India, in September 2019, with hypopigmented scaly itchy plaques over the dorsae of the hands for the past year and a half . On examination, there were well-defined hypopigmented erythematous scaly plaques, with peripheral hyperpigmentation and atrophy at places, over the dorsae of both the hands [Figure 1]. The lesions had a sharp demarcation over the wrist area. There was no history of wearing full sleeve garment or using any photoprotection. There were no lesions over the face, the ear concha or the scalp. Oral mucosa was within normal limits. Nails showed sub-ungual hyperkeratosis and discoloration. Histopathology from the periphery showed superficial and deep perivascular and peri-adnexal infiltrate of the lymphocytes, with interface vacuolar degeneration at the dermoepidermal junction. A diagnosis of DLE was made. The patient was treated with topical steroid (betamethasone dipropionate 0.05% cream) with marked improvement in six weeks.
Figure 1: Characteristic erythematous and hypopigmented atrophic plaques of discoid lupus erythematosus, with characteristic sharp cut-off at wrist mimicking pellagra.

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Conflicts of Interest: None.


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