{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T14:57:01Z","timestamp":1776783421573,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,4,27]],"date-time":"2018-04-27T00:00:00Z","timestamp":1524787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Under dermoscopy, discoid lupus erythematosus (<jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content>) exhibits specific findings. Commonly <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content> lesions affect sun\u2010exposed sites, especially the face. However, most of the dermoscopic reports come from scalp <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content>. To our knowledge, the dermoscopic pattern for mucosal and labial <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content> has not been previously reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included 20 patients with histopathologically confirmed <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content> lesions. Full history taking was obtained with photo documentation of lesions including the sites involved, the number of lesions per site, and the total number of lesions affecting every patient. Finally, a dermoscopic examination was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Almost 85% of patients had only cutaneous <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content> lesions, while 15% showed both cutaneous and mucosal lesions. Follicular keratotic plugging (56.1%) and scales (52.6%) were the most frequently detected dermoscopic criteria. A significant correlation was found between lesion's age and the following dermoscopic criteria: (<jats:italic>early lesions<\/jats:italic>: follicular keratotic plugs and perifollicular white halos; while <jats:italic>late lesions<\/jats:italic>: telangiectasia and white structureless areas). Furthermore, telangiectasia, white structureless areas, and ulceration were found in dermoscopy of mucosal <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content>. Also, telangiectasia, brown pigment spots, scales, white structureless areas, bleeding spots, and erosions were detected in dermoscopy of labial <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content>. Moreover, labial storiform telangiectasia was seen under dermoscopy in patients with associated <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dermoscopy is a valuable tool for diagnosing <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content> at different sites and in differentiating between the early and end\u2010stage lesions. Herein, we reported the first dermoscopic view for <jats:styled-content style=\"fixed-case\">DLE<\/jats:styled-content> affecting the lips and oral mucosa. Labial storiform telangiectasia could be a dermoscopic sign of coexisting <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.14015","type":"journal-article","created":{"date-parts":[[2018,4,27]],"date-time":"2018-04-27T07:27:57Z","timestamp":1524814077000},"page":"830-836","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Clinical and dermoscopic spectrum of discoid lupus erythematosus: novel observations from lips and oral mucosa"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7327-8113","authenticated-orcid":false,"given":"Eman","family":"Salah","sequence":"first","affiliation":[{"name":"Dermatology, Venereology &amp; Andrology Department Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,27]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09330.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12044"},{"key":"e_1_2_5_4_1","first-page":"1","volume-title":"Cutaneous Manifestations of Rheumatic Diseases","author":"Sontheimer RD","year":"1996"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016356409028214"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1989.tb08215.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1201\/b14613","volume-title":"Handbook of Dermoscopy","author":"Malvehy J","year":"2006"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2009.86"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2011.312"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5178.190493"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.5826\/dpc.0704a03"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.12547"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2006.04.058"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2009.277"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(84)90259-7"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10006-003-0483-y"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-029X.102487"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijd.14015","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.14015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T14:04:43Z","timestamp":1695477883000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.14015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,27]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1111\/ijd.14015"],"URL":"https:\/\/doi.org\/10.1111\/ijd.14015","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,27]]},"assertion":[{"value":"2017-12-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}