White Rosettes in Discoid Lupus Erythematosus: a New Dermoscopic Observation
Overview
Affiliations
White rosettes are shiny white structures seen as four oval-shaped points that come together in the center. They resemble four-leaf clover [1]. Earlier it was thought they were specific for actinic keratosis and squamous cell carcinoma, but they are noted in many other conditions [2]. With polarized light dermoscopy, it is evident that rosettes are seen only and they are due to the optical effect between polarized light and follicular structures [3]. Here, authors describe cases of discoid lupus erythematosus (DLE) demonstrating rosettes under polarized dermoscopy.
Bhardwaj S, Peter D, George L, George A, Mahabal G, Pulimood S Indian J Dermatol. 2025; 70(1):1-5.
PMID: 39896309 PMC: 11784978. DOI: 10.4103/ijd.ijd_514_23.
Ankad B, Hurakadli S, Chigurupati E Indian Dermatol Online J. 2024; 15(6):949-954.
PMID: 39640475 PMC: 11616916. DOI: 10.4103/idoj.idoj_57_24.
A Systematic Review of Diagnoses with Rosettes Under Dermoscopy.
Alorainy M, Buchanan K, Nussinow T, Rabinowitz J, Cyr P, Seiverling E Dermatol Pract Concept. 2024; 14(2).
PMID: 38810026 PMC: 11135967. DOI: 10.5826/dpc.1402a125.
Gowda S, Errichetti E, Thakur V, Panda M, Dash S, Agarwal A Clin Cosmet Investig Dermatol. 2024; 17:805-827.
PMID: 38616887 PMC: 11015838. DOI: 10.2147/CCID.S460742.
Slawinska M, Zolkiewicz J, Behera B, Ding D, Lallas A, Chauhan P Dermatol Pract Concept. 2023; 13(4 S1).
PMID: 37874994 PMC: 10824322. DOI: 10.5826/dpc.1304S1a297S.