Recurrent erosive-crusted ear lesions in a middle-aged woman: a case of discoid lupus erythematosus

Discoid lupus erythematosus (DLE) is a chronic autoimmune skin condition characterized by erythematous scaly plaques, often resulting in scarring and pigmentary changes. It primarily affects sun-exposed areas and is more common in women aged 20-40. Although predominantly a skin condition, it can progress to systemic lupus erythematosus, warranting long-term monitoring. In this article, we e present the case of a 40-year-old woman with an 8-year history of recurrent erosive and crusted lesions on both earlobes, extending to the helix, with local atrophy. Biopsy revealed DLE. The patient responded well to topical corticosteroids, photoprotection, and remains under dermatological follow-up with no active lesions. This case underscores the importance of considering DLE in patients with chronic, scaly ear lesions. A tailored treatment approach, including topical therapy and photoprotection, can effectively manage localized disease while minimizing systemic exposure. Regular follow-up is essential to monitor for recurrence and systemic involvement.