PMC7007016_01
A. Diffuse sclerotic hypochromic plaques on the face with alopecia. B. Detail of the dyschromic alte rations, exulcerated lesion on the forehead, alopecia of the eyebrows and temporal margins
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f1
There were exulcerations and hypochromic sclerotic plaques on the face, cervical region, upper, and lower limbs, as well as areas of frontal, temporal, and occipital alopecia (Figures 1 and 2).
A. Sclerotic hypochromic plaques in the upper limbs. B. Detail of dyschromic sclerotic plaque, desquamation, and exulcerated lesion on the back of the hand
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f2
There were exulcerations and hypochromic sclerotic plaques on the face, cervical region, upper, and lower limbs, as well as areas of frontal, temporal, and occipital alopecia (Figures 1 and 2).
Pink-reddish fluorescence of urine exposed to Wood's light (left) compared to control urine (right)
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f3
The histopathological examination revealed upper dermis edema and thickened collagen bundles. The urinary porphyrin analysis was positive and there was reddish fluorescence in urine exposed to Wood's light (Figure 3).