Moreover the depigmentation in fully evolved lesions can be disfiguring especially in dark skinned individuals.
Carpet tacking lupus.
Discoid lupus erythematosus dle.
The characteristic carpet tack scale associated with lesions indicates follicular involvement and the disease can result in permanent scarring alopecia.
The discoid rash of lupus is less common and causes crusts or scabs that scar.
Discoid lupus especially likes the helix of the ear children also may have so called lupus hairs which are fragile and break easily.
If the scale from these follicular areas is lifted conical projections may extend downward giving the carpet tack sign.
Atrophic scars and dyspigmentation remain after the active lesions resolve.
Dilated follicles plugged with keratin or follicular plugging are common and can best be seen on the scalp.
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Lupus erythematosus profundus affects approximately 1 to 2 of patients with le.
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Carpet tack sign you pdf perforation of paper with pen discoid lupus erythematosus dle discoid lupus erythematosus clinicalpics of.
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Hypertrophic warty lesions are seen most often in the head and neck region and on palms and soles.
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The dyspigmentation of older lesions often presents as central hypopigmentation and peripheral hyperpigmentation.
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The adherent scale with its prominent keratotic follicular plugs is similar to carpet tacks the so called tin tack sign.
Carpet tack sign discoid lupus.
The first morphological sign of discoid lupus erythematosus is a well defined annular erythematous patch or plaque of varying size followed by follicular hyperkeratosis which is adherent to the skin.