AAFM Boards Dermatology Practice Test

In chronic cutaneous lupus, patients primarily exhibit plaques and scales as a hallmark of the disease. This condition, also known as discoid lupus erythematosus, is characterized by well-defined, erythematous plaques that can develop scales, often resulting in scarring and pigmentary changes over time. These lesions can appear on sun-exposed areas of the skin, reflecting the photosensitivity often associated with lupus.

The presence of plaques indicates a more chronic infiltration of immune cells and skin damage, distinguishing it from more acute forms of skin involvement. While other types of lesions may be seen in different forms of lupus or other diseases, plaques and scales effectively capture the persistent and localized nature of chronic cutaneous lupus erythematosus, making them the most relevant description for the lesions noted in this chronic condition.