PMC4097349_01
Clinical photo of hypertrophic lupus erythematosus.. Hypertrophic lupus erythematosus presenting as a verrucous plaque on the patient's elbow.
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Physical exam revealed multiple hyperkeratotic, verrucous papules and nodules with white, scaly, cribriform centers overlying patches of depigmentation, erythema and atrophy on his bilateral arms ( Figure 1) and anterior legs.
Histological photo of hypertrophic lupus erythematosus.. Hypertrophic lupus erythematosus displays epidermal acanthosis and expansion of follicular ostia with a superficial and deep perivascular and periappendageal intradermal lymphocytic infiltrate (hematoxylin and eosin, 40x magnification).
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Histological sections demonstrated an interface inflammatory pattern with deep peri-vascular and peri-appendageal lymphocytic infiltrate and rare plasma cells ( Figure 2).