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Discoid lupus erythematosus with an unusual clinical appearance mimicking sporotrichosis |
European Journal of Dermatology. Volume 8, Number 8, 579-81, December 1998, Votre diagnostic ?
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Free Article
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Author(s) : M. Abe, O. Ishikawa |
Summary : Case 1
A 31-year-old Japanese male presented with a one year history of asymptomatic erythema on the right cheek. The lesion first appeared on the right cheek and, 6 months later, a second lesion developed below the right eye. There was no history of trauma. He was a carpenter and had experienced frequent sun exposure. Physical examination revealed two areas of erythema on the right infraorbital area and the central part of the cheek. The erythema was slightly elevated and scaled (Fig. 1).
Case 2
A 36-year-old Japanese housewife presented with a one month history of an asymptomatic eruption on the left cheek. She had been anxious about the lesion and had therefore covered the lesions with cosmetics every day. There was no history of trauma or frequent sun exposure. Physical examination revealed an area of erythema on the left cheek. The erythema was well-demarcated, depressed and scaled (Fig. 2). Since trauma or contact dermatitis was suspected, we told her not to use cosmetics. Over the six week follow up period, the center became ulcerated. |
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