Localized skin lesion Rope sign 2018-07-04T12:31:32Z The presence of linear erythematous palpable cords, often on the lateral trunk. Its associations include connective tissue disease (particularly SLE), rheumatoid arthritis, autoimmune thyroiditis, carcinomas and drug reactions. Histology reveals an interstitial and palisading granulomatous dermatitis associated with piecemeal fragmentation of collagen and elastic fibers