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Lupus Erythematosus — Cutaneous Variant

A 42-year-old woman develops photosensitive malar rash and discoid plaques on scalp with alopecia. ANA positive.

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Strict sun protection and sunscreen use

Topical corticosteroids/calcineurin inhibitors for localized lesions

Hydroxychloroquine; systemic immunosuppressants if refractory

Clinical exam + serologies (ANA, dsDNA, complement); biopsy if unclear

Monitor for systemic lupus manifestations

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