11th July 2023

A 42-year-old woman presents with a mildly pruritic rash that was prominent in sun exposed areas of the skin

A 42-year-old woman presents with a mildly pruritic rash that was prominent in sun exposed areas of the skin. On closer inspection, the lesions appeared dry and plaque-like with overlying fine, adherent scales. Upon further questioning, the patient admitted to being a smoker and that her sister also had a similar rash 2 years ago. A skin biopsy reveals a diagnosis of discoid lupus.

All of the following are associated with discoid lupus EXCEPT?

Select the SINGLE most appropriate option from the list below. Select ONE option only.