Look for atrophic pink in lighter skin tones to violaceous plaques with adherent scale in active lesions, commonly found in sun exposed areas. In inactive lesions, look for atrophic plaques with central depigmentation (more notable in darker skin) and peripheral hyperpigmentation.

A marker of discoid lupus erythematosus (DLE) is follicular keratosis plugs, which are noted when the scale is removed.

The disk-like plaques of DLE are not only found on the face and ears, but also on the scalp. It may cause scarring, pigment changes, and hair loss.

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