Case Reports
23 July 2025
Early Access
https://doi.org/10.4081/dr.2025.10431

Recognizing ophiasis pattern in discoid lupus: a rare diagnostic challenge

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Discoid lupus erythematosus, ophiasis, alopecia
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Authors

Lamia Alakrash
Department of Dermatology, King Fahad Medical City, Riyadh, Saudi Arabia.
Sara Alrabiah
alhunaif.sarah96@gmail.com
Division of Dermatology, Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Sawsan Alharthi
https://orcid.org/0000-0001-6417-6740
Division of Dermatology, Department of Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

Lupus erythematosus is an autoimmune condition that can present in both cutaneous and systemic forms, with discoid lupus erythematosus (DLE) being the most prevalent type of chronic cutaneous lupus. Although the ophiasis pattern is well documented in alopecia areata, we present a rare case of DLE exhibiting this pattern in a 51-year-old Saudi female patient with a complex medical history, including systemic lupus erythematosus (SLE). This case underscores the importance of recognizing atypical presentations of DLE, which can lead to misdiagnosis and delays in treatment. We aim to enhance awareness among dermatologists regarding the diverse manifestations of DLE and encourage further investigation into such rare patterns.

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Recognizing ophiasis pattern in discoid lupus: a rare diagnostic challenge. (2025). Dermatology Reports. https://doi.org/10.4081/dr.2025.10431
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