The manifestation of discoid lupus erythematosus on the scalp

Abstract

Scarred alopecia of the scalp is an urgent problem for both dermatologists and trichologists and accounts for approximately 5% of all cases of alopecia. A clinical case of a 47-year-old patient manifesting as foci of scar alopecia on the scalp is presented. According to the results of clinical, histological and dermatoscopic studies, the diagnosis of discoid lupus erythematosus was established. The patient was also examined by a rheumatologist (systemic lupus erythematosus was excluded, dynamic observation was shown). He received treatment with hydroxychloroquine, aevit and venarus; externally — Lorinden A ointment, bepanten plus cream, shampoos containing zinc, ultraphonophoresis with hydrocortisone ointment course. Because of the treatment, there is a clinical improvement. Observation by a dermatovenerologist and repeated examination by a rheumatologist after 6 months are indicated. Due to the complex diagnosis and the similarity of the clinical picture, timely and complete examination and treatment is important in order to prevent or stop the formation of foci of alopecia. In turn, they also affect the psychoemotional background of a person and the formation of psychosocial maladaptation.

Keywords

• scarring alopecia
• discoid lupus erythematosus
• lymphocytic scarring alopecia
• lesions of the scalp
• a clinical case