[
    {
        "id": "osp-2197",
        "type": "article-journal",
        "title": "Atrophic Plaques Over the Face",
        "author": [
            {
                "family": "Al-Qassabi",
                "given": "Al Mutasim"
            },
            {
                "family": "Al Harthy",
                "given": "Abeer"
            }
        ],
        "URL": "https://omanscience.com/en/articles/atrophic-plaques-over-the-face",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2020
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2020.15",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "A 44-year-old Omani male presented to the Dermatology Department with a four-month history of skin lesion over the face, associated with a feeling of tightness. He reported no history of itching, oral ulceration, fever, shortness of breath, or eye symptoms. There was no history of photosensitivity. His medical and drug history were unremarkable. General physical and systemic examinations were normal. Local examination revealed an erythematous plaque measuring about 2 × 3 cm with superficial scales and atrophic violaceous center over the left cheek. A similar smaller lesion was noted over the distal dorsum of the nose. Complete blood count and blood biochemistry were normal. Antinuclear antibodies test was negative. His chest X-ray was normal and the Mantoux test was negative. A skin punch biopsy was done, which revealed epidermal atrophy, follicular plugging, and basal layer vacuolization. The dermis showed perivascular and perifollicular lymphocytic infiltrate. Staining for acid-fast bacilli was negative. A diagnosis of discoid lupus erythematosus (DLE) was made based on clinical and histopathological features. The patient was treated with regular sunblock and potent topical steroids but showed mild response after two months, so he was started on hydroxychloroquine."
    }
]