Question:
Identify the condition in the below image.
Identify the condition in the below image.
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Photosensitive butterfly malar rash over cheeks and nasal bridge.
Updated On: Jun 23, 2026
- SLE
- Polymorphous light eruption
- Discoid lupus
- Skin tuberculosis
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The Correct Option is A
Solution and Explanation
Step 1: The image shows a photosensitive, raised, erythematous malar (butterfly) rash across the cheeks and bridge of the nose, the most characteristic cutaneous sign of systemic lupus erythematosus (SLE).
Step 2: The malar rash develops at some point in 55-85% of SLE patients and is triggered or worsened by sun exposure. SLE may also show oral, nasal or vaginal ulcers and alopecia in about 50% of cases.
Step 3: Discoid lupus (c) instead gives circular, scaly, hyperpigmented plaques with an erythematous rim and atrophic scarring center, seen in 15-30%, and is localized rather than a malar pattern.
Step 4: Polymorphous light eruption (b) is an itchy papular sun-induced rash without systemic features, and skin tuberculosis (d) presents as chronic plaques or ulcers (lupus vulgaris), neither matching the classic malar distribution shown.
Step 2: The malar rash develops at some point in 55-85% of SLE patients and is triggered or worsened by sun exposure. SLE may also show oral, nasal or vaginal ulcers and alopecia in about 50% of cases.
Step 3: Discoid lupus (c) instead gives circular, scaly, hyperpigmented plaques with an erythematous rim and atrophic scarring center, seen in 15-30%, and is localized rather than a malar pattern.
Step 4: Polymorphous light eruption (b) is an itchy papular sun-induced rash without systemic features, and skin tuberculosis (d) presents as chronic plaques or ulcers (lupus vulgaris), neither matching the classic malar distribution shown.
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