A 34-year old man complained of erythematous, non-scaling plaque appeared on his forehead. The band appeared 1 year ago and extended onto the scalp, resulting in a liner non-scarring alopecia. Initial therapy of topical glucocorticoids failed. Hence, the skin biopsy was performed. Histology (Alcian-PAS staining was performed) Showed normal epidermis, accumulation of mucin in dermis, and lobular lymphocytic panniculitis.

Laboratory Tests : Indicated slightly increased C3d complement What is the most likely diagnosis in this case? Which treatment would you suggest for this patient? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM