Case Report

‘Coral reef’ pigmentation in lip Discoid lupus erythematosus


Author Details

1. Consultant dermatologist, Marsleeva medicity, Pala, Kerala, India

2. Assistant Professor, Sri Siddhartha Medical College, Tumkur, Karnataka, India


Abstract

Discoid lupus erythematosus (DLE) is a chronic inflammatory disorder. Histopathology was the method of choice for diagnosis previously. Though histopathology still remains the main mode of diagnosis, with the advent of dermoscopy, it has replaced biopsy in many cases. With new findings coming in, the diagnosis of dermatological diseases, the activity of disease and assessment of treatment response have become much easier. We describe a 32 years old female presented with lip DLE which was clinically and histopathologically confirmed. The dermoscopic findings from the lip were brown-red pigment spots, white structureless areas, scales palisade pigmentation and ‘coral reef’ pigmentation. In dermoscopy, it is an array of findings that point to a diagnosis rather than a single finding and hence this pattern of pigmentation simulating ‘coral reef’ can be added to the spectrum of dermoscopic findings noted in lip DLE and thereby can aid in diagnosis.

Keywords: Case report, Dermoscopy, DLE, Pigmentation, Coral reef, Mucoscopy

Keywords: Case Report, Dermoscopy, Dle, Pigmentation, Coral Reef, Mucoscopy

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