Recognizing Ophiasis Pattern in Discoid Lupus: A Rare Diagnostic Challenge

    July 2025 in “ Dermatology Reports ”
    Lamia Alakrash, Sara Alrabiah, Sawsan Alharthi
    TLDR Dermatologists should recognize diverse discoid lupus signs to avoid misdiagnosis.
    This document discusses a rare case of discoid lupus erythematosus (DLE) in a 51-year-old Saudi female, presenting with an ophiasis pattern typically associated with alopecia areata. The case highlights the diagnostic challenges posed by atypical presentations of DLE, especially in patients with a complex medical history, such as systemic lupus erythematosus (SLE). The authors emphasize the need for dermatologists to be aware of the diverse manifestations of DLE to prevent misdiagnosis and treatment delays, and they advocate for further research into these uncommon patterns.
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