ABSTRACT
This chapter presents a case study of a 55-year-old woman who presents to the dermatology clinic with a long history of a rash that occurred during the spring and summer months over her face and scalp. The affected area became more extensive, the skin became scarred and she noticed her hair did not grow back. She wears a hair weave to cover the area. There are large areas of scarring with associated hypo- and hyperpigmentation. She has alopecia predominantly over her fronto-temporal scalp. Over the face and vertex of the scalp there are indurated erythematous plaques with overlying scale and follicular plugging. The scalp shows areas of alopecia with skin atrophy and scarring in the affected areas. These changes are typical of discoid lupus erythematosus (DLE), which is a chronic, persistent, often indolent disorder seen mainly in women. DLE without intervention can persist for many years and lead to extensive scarring.
