Discoid lupus erythematosus degenerating to squamous cell carcinoma

A 40-year-old male presented with multiple erythematous scaly plaques over the right cheek, lips, left preauricular area, 'v' neck areas, the upper extremities, and a large fungating flesh colored tumor on the nasal bridge extending to right eyelid and malar area. Histologically, the plaque lesions were consistent with discoid lupus erythematosus (DLE), and the fungating growth with squamous cell carcinoma (SCC).