Clinical history:

A 37-year old lady complained of increasing scalp hair loss and scaly rash over the body, face, hands and neck in the past one year. Increase in dandruff and scalp pruritus was also noted. The hair loss was patchy and she denied self plucking of the scalp hair. The skin rash was found to be more severe after sun exposure and there were some morning stiffness of the small joints of the hands. No abnormality was noted in the mucous membranes.