短语分析？谢谢

Subacute cutaneous OR discoid lupus

Subacute cutaneous lupus erythematosus observed by a clinician:†

Annular or papulosquamous (psoriasiform) cutaneous eruption, usually photodistributed

If skin biopsy is performed, typical changes must be present (interface vacuolar dermatitis consisting of a perivascular lymphohistiocytic 

infiltrate, often with dermal mucin noted).

OR

Discoid lupus erythematosus observed by a clinician:†

Erythematous-violaceous cutaneous lesions with secondary changes of atrophic scarring, dyspigmentation, often follicular hyperkeratosis/plugging (scalp), leading to scarring alopecia on the scalp

If skin biopsy is performed, typical changes must be present (interface vacuolar dermatitis consisting of a perivascular and/or periappendageal lymphohistiocytic infiltrate. In the scalp, follicular keratin plugs may be seen. In longstanding lesions, mucin deposition may be noted.)

红班狼仓的一段

亚急性皮肤性或盘状狼疮

临床医生观察到的亚急性皮肤红斑狼疮：†

环状或丘疹鳞屑样(牛皮癣样)皮疹，通常呈向光性分布

如果进行皮肤活检，必须有典型的改变(界面空泡性皮炎：包括血管周围淋巴组织细胞浸润，通常伴有真皮粘液)。

或者

临床医生观察到的盘状红斑狼疮：†

萎缩性瘢痕继发性改变的、色素沉着异常的、经常滤泡角化过度/堵塞(头皮)的、导致头皮瘢痕性脱发   的红斑-紫罗兰色皮损

如果进行皮肤活检，必须有典型的改变（界面空泡性皮炎，包括血管周围和/或阑尾周围淋巴组织细胞浸润。头皮可见毛囊角蛋白栓。在长期病变中，可注意到粘蛋白沉积）。

 photodistributed向光性分布？

Erythematous-violaceous cutaneous lesions (with secondary changes of atrophic scarring, dyspigmentation, often follicular hyperkeratosis/ plugging (scalp),leading to scarring alopecia on the scalp) 

这句话后面从with到最后是不是都是修饰Erythematous-violaceous cutaneous lesions的？

也就是：继发于萎缩性瘢痕改变的、色素沉着异常的、经常滤泡角化过度/堵塞(头皮)的、导致头皮瘢痕性脱发   的红斑-紫罗兰色皮损