Carpet Tacking Lupus

Moreover the depigmentation in fully evolved lesions can be disfiguring especially in dark skinned individuals.

Carpet tacking lupus.

Hypertrophic warty lesions are seen most often in the head and neck region and on palms and soles. Be first to leave comment below. Notify me of follow up comments by email. By removing the adherent scale follicle sized keratotic spikes similar to carpet tacks can be seen carpet tack sign.

The characteristic carpet tack scale associated with lesions indicates follicular involvement and the disease can result in permanent scarring alopecia. If the scale from these follicular areas is lifted conical projections may extend downward giving the carpet tack sign. Carpet tack sign you pdf perforation of paper with pen discoid lupus erythematosus dle discoid lupus erythematosus clinicalpics of. There are follicular hyperkeratotic plugs causing a carpet tack appearance as they project from the undersurface of the scale when it is removed from advanced lesions.

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Two birds home. If you lift up these crusts or scabs you see what s called carpet tacking little pinpoints of bleeding underneath he said. Discoid lupus especially likes the helix of the ear children also may have so called lupus hairs which are fragile and break easily. Dilated follicles plugged with keratin or follicular plugging are common and can best be seen on the scalp.

Discoid lupus erythematosus dle. The discoid rash of lupus is less common and causes crusts or scabs that scar. The dyspigmentation of older lesions often presents as central hypopigmentation and peripheral hyperpigmentation. The first morphological sign of discoid lupus erythematosus is a well defined annular erythematous patch or plaque of varying size followed by follicular hyperkeratosis which is adherent to the skin.

Atrophic scars and dyspigmentation remain after the active lesions resolve.