A 15 year old girl of Peruvian origin presents with a 3 month history of a slowly enlarging erythematous plaque extending over her nose and left cheek.

The lesion started as a small, asymptomatic papule which slowly increased in size.

Her medical and surgical histories are unremarkable; her family history is significant for Discoid Lupus Erythematosus in her mother.

She spent her summer vacation with her grandmother in Peru and returned home 1 month prior to the onset of symptoms.