History:

A 47-year-old woman complained of an itchy rash on her back and forehead of 2 years duration. On examination multiple, well-demarcated, erythematous plaques with irregular hyperpigmented borders and hypopigmented and even depigmented scarred centers with some adherent scales and excoriations were found, ANF and Anti-dsDNA antibodies were negative. In patients with disseminated DLE, discoid lesions are seen predominantly on the upper trunk and upper limbs, usually, but not always in association with lesions on the head. SLE may eventually develop in some of these patients.