Chronic Cutaneous Lupus

A 68-year-old female patient presented with hair loss over 3 years, accompanied by itching and burning sensations. Physical examination revealed an irregular plaque with hyperpigmented borders and a hypopigmented center, along with scarring alopecia in the frontoparietal region. Histopathological findings included hyperkeratosis, epidermal atrophy, hydropic degeneration of the basal layer, thickening of the basement membrane, and dermal edema. These findings confirmed a diagnosis of Chronic Cutaneous Lupus (CCL), a benign disorder affecting the skin and mucous membranes, characterized by variable-sized plaques with erythema and scaling, progressing to atrophy and pigmentation changes, typically without affecting other organs.