Rheumatology Case 9

A 30 year-old woman with photosensitivity after exposure to the sun since 1995, presented annular like skin lesions over the extensor surfaces of the arms as shown in the picture. Laboratory evaluation revealed positive antinuclear antibodies, and positive antibodies to Ro(SSA) nuclear antigens. The differential diagnosis includes:
1. Fungal skin lesions  
2. Subacute cutaneous lupus erythematosus
3. Erythema multiforme  
4. Granuloma annulare  
5. Tuberculous skin lesion (Basin)  



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