Chronic Cutaneous Lupus Erythematosus

Well-defined, slightly erythematous scaling plaques on the face.

Clinical Background:

A 49 year old patient with a four-year history of discoid plaques on the face and back had no clinical or laboratory evidence of systemic involvement.
He was treated with hydroxychloroquine (200mg/d) and topical steroids with poor results (partly because of the low compliance of the patient who never used adequate sun protection or applied topical therapy on a regular basis) and eventually prednisone (5 mg/d) was given with some improvement.