Verrucous lupus erythematosus

Abstract

Chronic cutaneous lupus erythematosus is a cutaneous expression of lupus erythematosus including a broad spectrum of clinically and histopathologically distinct types of lesions. Among them the verrucous or hypertrophic type represents an uncommon cutaneous manifestation resembling clinically as well as histopathologically keratoacanthoma or verrucous lichen planus. The course of the disease is - in most but not in all instances - marked by chronicity, absence of regression and resistance to treatment. The diagnosis is based on clinicopathologic findings. We herein present a patient with a longstanding history of DLE with keratoacanthomalike verrucous lesions on both forearms and hands