PMC9701452_01
(A-C) Depigmented spots on the hairline, posterior occipital, upper back, and anterior neck, with superficial atrophy. (D) Right scapular circular red annular patch with a few white scales on the surface and central regression.
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Pale red plaques were visible around the labia majora and clitoris, the surface was keratinized and desquamated, and local erosion and flaky depigmented plaques with atrophy were visible (Figure 1). 
(A) Back. (B) Legs.
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Leg tissue biopsy revealed epidermal hyperkeratosis, focal parakeratosis, and lymphocyte-predominant infiltration around the superficial and middle dermis (Figure 2). 
Timeline.
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One month later, the skin lesions decreased in size (please see Figure 3: Timeline).