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Carpet tack sign.
This is most dramatic in darker skin type.
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Discoid lupus erythematosus dle.
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Typically there is a hypopigmented atrophic center surrounded by hyperpigmentation at the periphery.
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Carpet tack sign discoid lupus.
To confirm the diagnosis of darier s disease a genetic test can be performed to identify the atp2a2 gene mutation.
When the scale is removed its undersurface shows horny plugs that had occupied follicles.
The scales would also have a characteristic carpet tack appearance similar to other follicular diseases.
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The auspitz sign a k a.
Scarring results in central loss of pigment white patches and skin atrophy tissue loss.
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Another tell tale sign is the appearance of mucosal lesions.
Carpet tack sign cat s tongue sign tin tack sign in dle characteristic lesions are well defined erythematous plaques with partially adherent scales entering a patulous follicle.
Atrophic scars and dyspigmentation remain after the active lesions resolve.
Follicular keratosis or plugs of keratin within hair follicles is noted when the surface scale is removed for example with tape carpet tack sign older lesions are hyperpigmented especially on the edge of the plaques.