case_images: PMC10294211_01
case_images: a Atrophic, hypopigmented, and hyperpigmented patches bilaterally on the temples with visible telangiectatic blood vessels, more prominent on the left temple. b Erythematous and hyperpigmented patches over the upper and lower eyelids, medial cheek, ear lobes, upper cutaneous lip, and chin, sparing some areas.
case_images: cde530465_f01.jpg
case_images: PMC10294211_01_cde530465_f01.jpg
case_images: F1
case_images: On examination, the patient was Fitzpatrick skin phototype (FST) IV and was noted to have atrophic, hypopigmented, and hyperpigmented patches bilaterally on the temples with visible telangiectatic blood vessels, more prominent on the left temple (Fig. 1a). There were also erythematous and hyperpigmented patches over the upper and lower eyelids, medial cheek, ear lobes, upper cutaneous lip, and chin, with sparing of some areas (Fig. 1b).
case_images: a Marked improvement in hyperpigmentation and atrophic lesions, noted at the 2-month follow-up visit. b Further improvement was noted at the 4-month follow-up visit.
case_images: cde530465_f02.jpg
case_images: PMC10294211_01_cde530465_f02.jpg
case_images: F2
case_images: At a 2-month follow-up visit, there was a marked improvement in hyperpigmentation and atrophic lesions (Fig. 2a), and her ENA titer had decreased to 276.7 CU. Further improvement was also appreciated at her 4-month follow-up visit, with almost complete resolution of the facial lesions (Fig. 2b).