Abstract

Characteristic skin lesions in discoid lupus erythematosus are well-defined erythematous papules and plaques with partially adherent scales entering a patulous follicle. When scales are removed, their undersurface shows horny plugs that had previously occupied follicles. This clinical sign is described as the carpet tack sign, tin tack sign, or cat tongue sign (Fig 1). 1 Madke B. Nayak C. Eponymous signs in dermatology. Indian Dermatol Online J. 2012; 3: 159-165 Crossref PubMed Google Scholar It is also seen in seborrheic dermatitis 1 Madke B. Nayak C. Eponymous signs in dermatology. Indian Dermatol Online J. 2012; 3: 159-165 Crossref PubMed Google Scholar and pemphigus foliaceous. 2 Parasmsothy Y. Lawrence C.M. 'Tin-tack' sign in localized pemphigus foliaceus. Br J Dermatol. 1987; 116: 127-129 Google Scholar Clinical signs with many metaphors are difficult to explain to residents.

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