Approach

The diagnosis of DLE is primarily clinical. Although it is possible for non-specialists to make the diagnosis clinically, it is by no means easy. Referral to a specialist dermatologist is usually necessary. It is important to recognise and treat DLE lesions early. If it is left untreated, the risk of scarring, permanent alopecia, and hypo- or hyperpigmentation is known to be increased. Chronic refractory lesions are often associated with psychological and social distress.

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