The discoid rash of lupus is less common and causes crusts or scabs that scar.
Carpet tacking lupus.
Discoid lupus especially likes the helix of the ear children also may have so called lupus hairs which are fragile and break easily.
Two birds home.
If you lift up these crusts or scabs you see what s called carpet tacking little pinpoints of bleeding underneath he said.
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Discoid lupus erythematosus dle.
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There are follicular hyperkeratotic plugs causing a carpet tack appearance as they project from the undersurface of the scale when it is removed from advanced lesions.
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Carpet tack sign discoid lupus.
The characteristic carpet tack scale associated with lesions indicates follicular involvement and the disease can result in permanent scarring alopecia.
If the scale from these follicular areas is lifted conical projections may extend downward giving the carpet tack sign.
Moreover the depigmentation in fully evolved lesions can be disfiguring especially in dark skinned individuals.
Lupus erythematosus profundus affects approximately 1 to 2 of patients with le.
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.
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Dilated follicles plugged with keratin or follicular plugging are common and can best be seen on the scalp.
Hypertrophic warty lesions are seen most often in the head and neck region and on palms and soles.
By removing the adherent scale follicle sized keratotic spikes similar to carpet tacks can be seen carpet tack sign.
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Atrophic scars and dyspigmentation remain after the active lesions resolve.
The dyspigmentation of older lesions often presents as central hypopigmentation and peripheral hyperpigmentation.