If you lift up these crusts or scabs you see what s called carpet tacking little pinpoints of bleeding underneath he said.
Carpet tacking lupus.
Dilated follicles plugged with keratin or follicular plugging are common and can best be seen on the scalp.
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Carpet tack sign discoid lupus.
Discoid lupus especially likes the helix of the ear children also may have so called lupus hairs which are fragile and break easily.
Discoid lupus erythematosus dle.
By removing the adherent scale follicle sized keratotic spikes similar to carpet tacks can be seen carpet tack sign.
Two birds home.
There are follicular hyperkeratotic plugs causing a carpet tack appearance as they project from the undersurface of the scale when it is removed from advanced lesions.
The adherent scale with its prominent keratotic follicular plugs is similar to carpet tacks the so called tin tack sign.
If the scale from these follicular areas is lifted conical projections may extend downward giving the carpet tack sign.
Hypertrophic warty lesions are seen most often in the head and neck region and on palms and soles.
The discoid rash of lupus is less common and causes crusts or scabs that scar.
Atrophic scars and dyspigmentation remain after the active lesions resolve.
Moreover the depigmentation in fully evolved lesions can be disfiguring especially in dark skinned individuals.
The first morphological sign of discoid lupus erythematosus is a well defined annular erythematous patch or plaque of varying size followed by follicular hyperkeratosis which is adherent to the skin.
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The characteristic carpet tack scale associated with lesions indicates follicular involvement and the disease can result in permanent scarring alopecia.
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