Case 390

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.

Based on the case report and analysis of the images, what is the most likely diagnosis?

Test question

[HDT-UFT 2015] Regarding lupus lesions, check the INCORRECT alternative.