Doctor insights on:
Best Soap For Discoid Lupus
What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?
Oral agents best: Lichenoid lupus refers to a specific type if rash sometimes photosensitive, which is oftern red and raised. It occurs between the dermis and epidermis under the microscope. Discoid may also start as a red area but will cause atrophy and scarring. The best treatment is usually the oral agent plaquenil (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more
Discoid lupus (think singer seal) is seen by itself or with systemic lupus erythematosus (sle). Abut 25% of sle pts have discoid symptoms. If discoid lupus is by itself, 5-10% of them will go on to have sle, but the disease is relatively mild. Discoid lesions are areas of inflammation that go through the dermal layer of skin, causing scarring (like stretch marks). ...Read more
Not Fair: Every person is a different element that we have to figure out what works best for your body. You might have to try a few different medications before you find which works best for you! Don't give up after just one med doesn't work. What works for one patient might not for another with the same condition. It's what makes us unique and what makes being a doctor so confusing. ...Read more
Lupus: Discoid lupus erythematosus (dle) is a chronic skin condition of sores with inflammation and scarring favoring the face, ears, and scalp and at times on other body areas. These lesions develop as a red, inflamed patch with a scaling and crusty appearance. The center areas may appear lighter in color with a rim darker than the normal skin. Discoid lupus can be divided into localized or generalized. ...Read more
Dermal skin injury: Discoid lupus (think singer seal) is seen by itself or with systemic lupus erythematosus (sle). Abut 25% of sle pts have discoid symptoms. If discoid lupus is by itself, 5-10% of them will go on to have sle, but the disease is relatively mild. Discoid lesions are areas of inflammation that go through the dermal layer of skin, causing scarring (like stretch marks). Sometimes mistaken for psoriasis. ...Read more
Yes, but you need to confer with doctors first. Discoid on occasion can transition to systemic lupus so you would want to get checked. Also you would need to have medications reviewed with your doctor. Plaquenil (hydroxychloroquine) is safe in pregnancy, but if you are on medications such as methotrexate, these would have to be stopped long before any attempts at conception are made.
See your doctor to talk more. ...Read more
What is the description, conditions, symtoms, risk factors & treatments assocated with discoid lupus?
Discoid Lupus (DLE):
DLE is a chronic cutaneous autoimmune skin disorder characterized by DLE cerythematous-to-violaceous, scaly plaques with prominent follicular plugging that often results in scarring and atrophy (see the images below). DLE may occur in the absence of systemic disease, or it may occur in association with systemic lupus erythematosus (SLE). Read this:emedicine. Medscape. Com/article/1065529-overview
Yes: Any dermatologist can manage, but not cure, common discoid lupus. You already know to avoid sunlight. Topical or intralesional glucocorticoids have been standard for decades. Systemic Chloroquine or a similar drug are often helpful as well. Topical calcineurin inhibitors are a relatively new addition, and there are reports of success with topical retinoic acid derivatives. ...Read more
Exam is best: The sores with pale center and dark rim, uneven scales / crusts are usually easy to diagnose on physical exam by a general physician; any dermatologist can make the call easily. If there is doubt, punch biopsy shows distinctive features to the pathologist that will remove any doubt; both a standard stain and a "lupus band test" may be performed. Dle is usually manageable but not curable. ...Read more
Common skin dz: This is a very familiar skin disease that may occur by itself or with the far more severe systemic lupus, though the vast majority of dle patients never get sle. The disease can look bad and may produce surface scars. Sun avoidance / screens and topical glucocorticoids generally keep it at bay; systemic antimalarials can help. ...Read more
Scarring rash: Lupus affects in the skin in discoid lupus and in some cases of sle. There is redness usually on the cheeks, nose, possibly ears and scalp. It can show broken blood vessels, depressed scars, and a purple border. Topical or injections of steroids are often helpful. In more severe case oral antimalarials are used. ...Read more
Skin only: Discoid involves skin only but 5 per cent have systemic lupus which can affect almost any organ with common involvement as arthritis, swelling, and in severe cases heart, lungs or kidney. S you must be monitored to rule out systemic involvement and minimize scarring and color changes on the skin. ...Read more
Pets & discoid lupus: The only connection between having a pet and discoid lupus is that if you need to take your pet out for walks, you need to use an excellent sunscreen and a hat, as discoid lupus can become worse with sun exposure. 10% of people with discoid lupus have systemic lupus. Sun protection and avoidance is even more important. Other than that, enjoy your pet! No reason not to have one. ...Read more
Several Rx's!: Discoid in some patients is easy to manage and in others hard. One thing the pt. Can do is avoid uv light. I typically put pts on Hydroxychloroquine @ 6mg/kg of body weight, and use Methotrexate subcutaneous 20-25mg/wk. I occasional add ridaura. Some patients do well with azathioprine. Others do well with cellcept (mycophenolate mofetil). Topical steroids and oral steroids are always options. ...Read more
Yes: Microdermabrasion is a very superficial treatment when performed correctly. Please go to an experienced dermatologist or plastic surgeon and not just any beautician with a microdermabrader. Be careful and choosy with your professional. All the best, dr. Fred www. Cornerstoneplasticsurgery. Com. ...Read more
Please clarify: Are you inquiring if your having discoid lupus will have effect on your child's health? If you have the disease, it not likely to affect the child. If the child has discoid lupus, it is, unfortunately, a life long affliction and may result in scarring of sun exposed skin. Preventing exposure to sun through proper clothing, hats, and sun screen should help. ...Read more
See details: A characteristic rash with the diagnosis confirmed by biopsy. ...Read more
Why don't men want to go to doctors? My husband has discoid lupus, and I feel I have to drag him in to be seen. What will happen to him without treatment?
Not a lupus med: Opioid narcotics such as oxycodone do not affect the underlying disease process of discoid lupus (dle), which is an autoimmune reaction against the skin. Opioids are associated with significant risks including dependence and overdose. Since they do not affect the actual process causing dle, your doctors are protecting you from potential risks of unnecessary medications. Dle needs other treatments. ...Read more
NO: Use it for whatever it does for you. If you have DLE you must protect strictly against sun, UV, any radiation. Your DR may give you something for DLE or SLE. ...Read more