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Saved by a dermatoscope – the tale of lichen aureus

A male in his late 20s with a 2-year history of an asymptomatic coppery-rust-colored patch on one if his shins. It doesn’t itch, doesn’t blister, isn’t painful, but the lesion bothers him because he doesn’t know what it is.

Honestly, I thought it was nummular eczema at first glance, but on dermoscopy: (orange arrow) coppery-reddish-orange background with (brown arrow) brown network and (red arrow) red punctate vessels at the periphery. Whew!
I thought it was cool to diagnose this with a dermatoscope and ease my patient’s anxiety. ๐Ÿ˜Š

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