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Mary Borer, BS; Jeff Smith, MD; Barry White, MD; Daniel Sheehan, MD
Medical College of Georgia, Augusta

Arch Dermatol. 2007;143(8):1067-1072.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 58-year-old black man was referred by his nephrologist to the dermatology clinic for evaluation of a scaly plaque on his scalp before renal transplantation. At that time, he was receiving hemodialysis for hypertensive nephropathy, with no evidence of systemic lupus erythematosus. He could not recall the duration of the plaque but reported an approximate 20-year history of a scarring patch on his scalp. A similar lesion on his arm had been biopsied and diagnosed as discoid lupus erythematosus (DLE). He had no family history of skin or connective tissue disorders. Physical examination revealed a 2.8x4.8-cm verrucous plaque situated at the right frontal aspect of a 7x9-cm atrophic, hairless, depigmented patch on his scalp (Figure 1). There was no associated cervical lymphadenopathy. A shave biopsy specimen was obtained (Figure 2 and . . . [Full Text of this Article]

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A Scaly Plaque on the Scalp—Diagnosis
Arch Dermatol. 2007;143(8):1067-1072.
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