Comedonal plaque on the scalp

Comedonic lupus, a rare variant of chronic cutaneous lupus erythematosus (CCLE): case series and literature review

“…There are only 18 cases of comedonic lupus in the literature, so we performed a summary of the clinical findings, association with autoimmune disease, and medications used in all cases described so far (Table 1). 1,3,6–19 Although benign, when not properly treated and without early diagnosis, it can become disfiguring, with unsightly atrophic lesions that are difficult to treat, causing great psychological impact 15 …”

“…There are only 18 cases of comedonic lupus in the literature, so we performed a summary of the clinical findings, association with autoimmune disease, and medications used in all cases described so far (Table 1). 1,3,[6][7][8][9][10][11][12][13][14][15][16][17][18][19] Although benign, when not properly treated and without early diagnosis, it can become disfiguring, with unsightly atrophic lesions that are difficult to treat, causing great psychological impact. 15 In this case series, we observed an unusual overlap of two autoimmune diseases, three of the five cases described had CCLE and rheumatoid arthritis (RA) (Table 2).…”

“…Review of the 18 cases described so far in the literature evaluated1,3,[6][7][8][9][10][11][12][13][14][15][16][17][18][19] …”

When Dermoscopy enlightens the diagnosis of scalp lupus

“…Cyrine Marmech 1 , Jacqueline Rivet 2 , Pascal Reygagne 1 1 Sabouraud Health Center, Saint Louis Hospital, Paris, France, 2 Une patiente de 38 ans sans antécédents pathologiques consulte pour une alopécie localisée du cuir chevelu évoluant depuis 1 an. L'examen physique retrouve une plaque alopécique érythématosquameuse circulaire du vertex, de 4 cm de diamètre et très bien limitée (Fig.…”

“…Au stade initial, la présence de bouchons kératosiques, de mégapoints jaunes correspondent à des globes cornés en zone active anciennement atteinte [1]. Les mégacapillaires et les vaisseaux télangiectasiques sont secondaires à l'inflammation périfolliculaire [2]. Les études de Bruna et de Belond et al ont trouvé que les vaisseaux arborescents et les bouchons cornés étaient les signes les plus prédictifs du lupus discoïde [3].…”