case_images: PMC4763573_01
case_images: (a) Erythematous papules and plaques with mild scaly surface and minimal atrophy seen over bilateral elbows. (b) Epidermis is thinned out with prominent basal layer vacuolization (H and E; x100). (c) Prominent periadnexal mucin deposition and collagen homogenization (H and E; x100). (d) Leukocytoclasis with inset showing fibrin deposition with leukocytoclasis in the vessel wall (H and E; x200)
case_images: IDOJ-7-20-g002.jpg
case_images: PMC4763573_01_IDOJ-7-20-g002.jpg
case_images: F2
case_images: Out of twelve patients, three patients had only elbow lesions and among them, one patient (Case 1) had not noticed any skin lesion and had presented for premature graying of hair and on examination was found to have CLE lesions over the elbows [Figure 2a]. Histopathological findings [Figure 2b-d] are summarized in table 2. Periadnexal mucin deposition [Figure 2c] was seen in all cases, whereas in two of the seven cases, mucin was also present interstitially. Leukocytoclasis [Figure 2d] was seen in four out of seven cases.