PMC10449588_01
On presentation, the child exhibited a white shiny plaque with skin atrophy and alopecia extending from her frontal scalp to her nose. There was no evidence of ulceration, excoriation, redness, or tenderness.
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fig1
Facial examination revealed a shiny, depressed, white, linear, nonpruritic plaque on the frontal aspect of her scalp extending to the nasal tip with associated skin atrophy and alopecia in the region of the plaque (Figure 1).
Two years later after treatment with corticosteroids and methotrexate. On this follow-up, the lesion is less shiny, though scarring and alopecia persisted. The lesion is less apparent on the nose.
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fig2
Scarring and alopecia persisted, but there were no signs of inflammation (Figure 2).