{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T14:56:56Z","timestamp":1774969016436,"version":"3.50.1"},"reference-count":24,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Cutaneous lupus erythematosus (CLE) is divided into the following four clinical subtypes: acute CLE (ACLE), subacute (SCLE), chronic CLE (CCLE) and lupus erythematosus tumidus (LET). The aim of this study was to describe the dermoscopic patterns of CLE by clinical variant. A total of 54 Caucasian patients from Poland (ACLE = 10; SCLE = 11; CCLE = 26; LET = 7) were included. The predefined parameters for dermoscopic assessment in inflammatory dermatoses were analyzed separately by two dermatologists. Under dermoscopy, all the variants of CLE showed predominantly polymorphous vessels on a pink\u2013red background within the lesional skin. Dotted vessels, in association with other vessel morphologies, were observed more frequently in SCLE than in the other subtypes of CLE, but the difference did not reach statistical significance (p = 0.07). The findings associated with hair follicles, including rosettes (p = 0.02), follicular plugs (p = 0.01), follicular red dots (p &lt; 0.01), perifollicular white halos (p &lt; 0.01) and dermoscopic features corresponding to scarring, including white (p = 0.01) and pink (p &lt; 0.01) structureless areas, were significantly more common in CCLE than in other variants of CLE. A lack of scaling, pigmentation, erosions and crusting were observed in all the cases of LET. The role of dermoscopy as an auxiliary tool in the differential diagnosis of CLE needs further elucidation.<\/jats:p>","DOI":"10.3390\/jcm11144088","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:17:10Z","timestamp":1657844230000},"page":"4088","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Dermoscopic Features of Acute, Subacute, Chronic and Intermittent Subtypes of Cutaneous Lupus Erythematosus in Caucasians"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8268-0529","authenticated-orcid":false,"given":"Magdalena","family":"\u017bychowska","sequence":"first","affiliation":[{"name":"Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5573-1754","authenticated-orcid":false,"given":"Adam","family":"Reich","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, 35-959 Rzeszow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jaut.2014.01.021","article-title":"The classification and diagnosis of cutaneous lupus erythematosus","volume":"48\u201349","author":"Kuhn","year":"2014","journal-title":"J. Autoimmun."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"707","DOI":"10.2147\/CCID.S166723","article-title":"Lupus erythematosus tumidus: Clinical perspectives","volume":"12","author":"Patsinakidis","year":"2019","journal-title":"Clin. Cosmet. Investig. Dermatol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1111\/ajd.13620","article-title":"Dermoscopic features of acute cutaneous lupus erythematosus: A retrospective analysis from a tertiary care centre of East India","volume":"62","author":"Behera","year":"2021","journal-title":"Australas. J. Dermatol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e605","DOI":"10.1111\/ijd.13331","article-title":"Dermoscopy of subacute cutaneous lupus erythematosus","volume":"55","author":"Errichetti","year":"2016","journal-title":"Int. J. Dermatol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1159\/000440648","article-title":"Differentiation of Jessner\u2019s lymphocytic infiltration of the skin from various chronic cutaneous lupus erythematosus subtypes by quantitative computer-aided image analysis","volume":"232","author":"Kim","year":"2016","journal-title":"Dermatology"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e306","DOI":"10.1111\/ijd.15413","article-title":"Dermoscopy in the diagnosis of generalized acute cutaneous lupus erythematosus","volume":"60","author":"Behera","year":"2021","journal-title":"Int. J. Dermatol."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Apalla, Z., Papadimitriou, I., Iordanidis, D., Errichetti, E., Kyrgidis, A., Rakowska, A., Sotiriou, E., Vakirlis, E., Bakirtzi, A., and Liopyris, K. (2020). The dermatoscopic spectrum of cutaneous lupus erythematosus: A retrospective analysis by clinical subtype with clinicopathological correlation. Dermatol. Ther., 33.","DOI":"10.1111\/dth.14514"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Fathy, H., Ghanim, B.M., Refat, S., and Awad, A. (2021). Dermoscopic criteria of discoid lupus erythematosus: An observational cross-sectional study of 28 patients. Indian J. Dermatol. Venereol. Leprol., online ahead of print.","DOI":"10.25259\/IJDVL_207_19"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1016\/j.jaad.2020.05.144","article-title":"Trichoscopic findings of discoid lupus erythematosus alopecia: A cross-sectional study","volume":"84","year":"2021","journal-title":"J. Am. Acad. Dermatol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s13555-019-0304-3","article-title":"Evaluation of a handheld dermatoscope in clinical diagnosis of primary cicatricial alopecias","volume":"9","year":"2019","journal-title":"Dermatol. Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1111\/ijd.14015","article-title":"Clinical and dermoscopic spectrum of discoid lupus erythematosus: Novel observations from lips and oral mucosa","volume":"57","author":"Salah","year":"2018","journal-title":"Int. J. Dermatol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"651","DOI":"10.4103\/0378-6323.183636","article-title":"Relevance of trichoscopy in the differential diagnosis of alopecia: A cross-sectional study from North India","volume":"82","author":"Chiramel","year":"2016","journal-title":"Indian J. Dermatol. Venereol. Leprol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1111\/ijd.13304","article-title":"Validity of trichoscopy in the diagnosis of primary cicatricial alopecias","volume":"55","author":"Abedini","year":"2016","journal-title":"Int. J. Dermatol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"54","DOI":"10.4103\/0974-7753.138588","article-title":"A nonrandomized study of trichoscopy patterns using nonpolarized (contact) and polarized (noncontact) dermatoscopy in hair and shaft disorders","volume":"6","author":"Nikam","year":"2014","journal-title":"Int. J. Trichol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"306","DOI":"10.4103\/0378-6323.136833","article-title":"Clinical features of primary cicatricial alopecia in Chinese patients","volume":"80","author":"Qi","year":"2014","journal-title":"Indian J. Dermatol. Venereol. Leprol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"214","DOI":"10.5021\/ad.2014.26.2.214","article-title":"Dermoscopic approach to a small round to oval hairless patch on the scalp","volume":"26","author":"Shim","year":"2014","journal-title":"Ann. Dermatol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1111\/jdv.12146","article-title":"Dermoscopic patterns of common facial inflammatory skin diseases","volume":"28","author":"Lallas","year":"2014","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1111\/bjd.12044","article-title":"Dermoscopy of discoid lupus erythematosus","volume":"168","author":"Lallas","year":"2013","journal-title":"Br. J. Dermatol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1111\/ijd.15365","article-title":"Dermoscopy of discoid lupus erythematosus\u2014A systematic review of the literature","volume":"60","author":"Zychowska","year":"2021","journal-title":"Int. J. Dermatol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1177\/0961203320958141","article-title":"The combined role of clinical, reflectance confocal microscopy and dermoscopy applied to chronic discoid cutaneous lupus and subacute lupus erythematosus: A case series and literature review","volume":"30","author":"Mazzilli","year":"2021","journal-title":"Lupus"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1177\/0961203319882493","article-title":"Dermoscopy in the differential diagnosis between malar rash of systemic lupus erythematosus and erythematotelangiectatic rosacea: An observational study","volume":"28","author":"Errichetti","year":"2019","journal-title":"Lupus"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"755","DOI":"10.4103\/idoj.IDOJ_906_20","article-title":"Subacute cutaneous lupus erythematosus: Diagnosis and follow up by dermoscopy","volume":"12","author":"Behera","year":"2021","journal-title":"Indian Dermatol. Online J."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Behera, B., Kumari, R., Gochhait, D., and Ayyanar, P. (2021). Dermoscopic appearance of an annular subacute cutaneous lupus erythematosus. Dermatol. Pract. Concept., 11.","DOI":"10.5826\/dpc.1102a13"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1111\/bjd.18125","article-title":"Standarization of dermoscopic terminology and basic dermoscopic parameters to evaluate in general dermatology (non-neoplastic dermatoses): An expert consensus on behalf of the International Dermoscopy Society","volume":"182","author":"Errichetti","year":"2020","journal-title":"Br. J. Dermatol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/14\/4088\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:50:41Z","timestamp":1760140241000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/14\/4088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,14]]},"references-count":24,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2022,7]]}},"alternative-id":["jcm11144088"],"URL":"https:\/\/doi.org\/10.3390\/jcm11144088","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,14]]}}}