Image Challenge of the Week!

On Mondays, we post our image challenge of the week. Look out for the answers on Friday of that same week.

Case: A 45-year old African-American woman presents to establish primary care. She is naive to the medical system. She complains of a 2-year history of gradually enlarging papules on her nose, cheek, forehead, and around her eyes (representative image shown below – image is not of the patient described here). They are violaceous, non-pruritic, non-photosensitive, and indurated. Her only other complaint is mild progressive dyspnea on exertion. Chest X-ray demonstrates hilar lymphadenopathy.

Image:

Lupus pernio pic
Chest. 2009 Feb;135(2):468-476. doi: 10.1378/chest.08-1347

Question: What is the finding shown above? For which disease is it specific? Tune in Friday for the answer!

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