Case 390 Medical history A 42-year-old female patient reports the appearance of persistent “red spots” for approximately 1 year. They started in the face, progressing to the chest, upper limbs, scalp and ears. She also mentions sporadic mild pruritus, photosensitivity, dry mouth and fatigue. Physical examination showed the presence of erythematous papules and plaques with irregular borders. Laboratory tests: ANF non-reagent, ESR = 4mm, anti-DNA non-reagent, anti-Sm non-reagent, anti-Ro non-reagent, and anti-La non-reagent. Photograph of the patient's scalp.Photograph of the patient's upper dorsal.Photograph of the patient's retroauricular region. Question:Based on the case report and analysis of the images, what is the most likely diagnosis? Tuberculoid leprosy Psoriasis Discoid Lupus Erythematosus Sarcoidosis Test question [HDT-UFT 2015] Regarding lupus lesions, check the INCORRECT alternative. Subacute cutaneous lupus is closely related to photosensitivity. Lupus discoid lesions on the scalp respond well to treatment with thalidomide. Bullous lupus is characterized by aggression against type 7 collagen. Tumid lupus is a rare subtype of chronic cutaneous lupus erythematosus. Discoid lupus lesions are the most associated with systemic lupus erythematosus. Time is Up! Time's up