PMC6532495_01
Clinical picture showing malar rash
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F1
A 47-year-old female presented with erythematous-violaceous scaly plaques on the malar and other photoexposed areas [Figures 1 and 2] with bulla over the left arm [Figure 3] and buccal erosions for 1 month with fatigue, anorexia, and weight loss.
Clinical picture showing hyperpigmented atrophic plaques over extensors aspect of the upper limb
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F2
A 47-year-old female presented with erythematous-violaceous scaly plaques on the malar and other photoexposed areas [Figures 1 and 2] with bulla over the left arm [Figure 3] and buccal erosions for 1 month with fatigue, anorexia, and weight loss.
Bullous lesion over the left arm
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F3
A 47-year-old female presented with erythematous-violaceous scaly plaques on the malar and other photoexposed areas [Figures 1 and 2] with bulla over the left arm [Figure 3] and buccal erosions for 1 month with fatigue, anorexia, and weight loss.
Histopathology showing hyperkeratosis, irregular acanthosis, focal hydropic degeneration in the basal layer. Dermal perivascular mononuclear cell infiltrate with fibrinoid deposits
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F4
Skin histopathology was consistent with lupus erythematosus [Figure 4].