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Doctor insights on: Discoid Lupus

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Dr. Emily Altman
66 doctors shared insights

Discoid Lupus (Overview)

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.


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Are there official recommendations for treating discoid lupus?

Are there official recommendations for treating discoid lupus?

Yes: You already know to stay out of the sun / use sunblock / broad brim hat. You probably have a fluorinated glucocorticoid -- a little can go a long way. Some physicians will try oral antimalarials for discoid lupus. ...Read more

Dr. Emily Altman
66 doctors shared insights

Discoid Lupus (Overview)

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.


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What are the symptoms of discoid lupus? 

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

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Living with Lupus (Checklist)

Schedule regular clinic visits with your rheumatologist, and don't miss them
Once
Take all of your medications every day
Once
Wear SPF 30+ and a hat everyday to avoid unprotected sun exposure
Once
Get plenty of rest every day, as fatigue can trigger flares
Once
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What are the tests for discoid lupus?

What are the tests for discoid lupus?

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

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Does any one treat discoid lupus?

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

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What is the treatment for discoid lupus erythematosus?

Less sun, some Rx: Sun protection, topical steroids, avoidance of any drug which may have provoked the dle. If no better in 2-4 weeks, cortisone injections into the lesions or topical calcineurin inhibitors. If still no better in 2-4 more weeks, oral hydroxychloroquine, an anti-malarial medication. There are even further treatment for refractory cases but the above usually works. ...Read more

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What is the description, conditions, symtoms, risk factors & treatments assocated with discoid lupus?

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
...Read more

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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?

Discoid lupus: Fortunately only about 5% of patients with discoid lupus (dle) go on to develop systemic lupus (sle). However dle can be disfiguring. I would certainly suggest he see a dermatologist to explore his treatment options. ...Read more

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What is the drug of choice for discoid lupus?

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

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Can there be any pregnancy risks for women with discoid lupus?

No: Discoid le should prevent no problems. As a precaution, as a rheumatologist, i would make sure coagulation studies were normal prior to attempting pregnancy. ...Read more

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Are there long-term effects of discoid lupus on my child's health?

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

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Should people diagnosed with sle or discoid lupus avoid taking the drugs associated with drug-induced lupus?

If possible: Certain drugs can affect lupus so if there is a choice it may be prudent to avoid three drugs however depending on your circumstance there may not be other options. If you must take a drug associated with lupus be vigilant in reporting any joint pains, fever, or unusual symptoms to your doctor. ...Read more

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Does any one treat discoid lupus?

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

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What are the tests for discoid lupus?

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

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Does discoid lupus ever just go away?

Unlikely: Discoid lupus is a chronic inflammatory autoimmune disease that is unlikely to resolve spontaneously. ...Read more

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What kind of condition is discoid lupus?

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

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What are the symptoms of discoid lupus? 

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

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Will discoid lupus give you any symptoms?

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

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What is the drug of choice for discoid lupus?

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

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How is discoid lupus different from normal lupus?

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

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How is discoid lupus different to systemic lupus?

Skin only: Discoid lupus is skin only, amd systemic lupus can affect skin but not always does. ...Read more

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What is the definition or description of: discoid lupus?

What is the definition or description of: discoid lupus?

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

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What's the difference between systemic and discoid lupus?

Serious vs, not: Systemic lupus affects multiple organs and is a serious auto-immune disorder. Discoid lupus is mostly limited to sun exposed skin areas. See the sites below for details.
http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001471/
http://emedicine.Medscape.Com/article/1065529-overview. ...Read more

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Do you recommend not buying a pet if you have discoid lupus?

Do you recommend not buying a pet if you have discoid lupus?

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

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Are there official recommendations for treating discoid lupus?

Yes: You already know to stay out of the sun / use sunblock / broad brim hat. You probably have a fluorinated glucocorticoid -- a little can go a long way. Some physicians will try oral antimalarials for discoid lupus. ...Read more

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Is it possible to have discoid lupus and systemic lupus at the same time?

Skin deep: Discoid lupus is a type of skin lupus. Most patients with it do not get systemic lupus. Occasionally people with systemic lupus get .Discoid lupus rash as part of their disease. ...Read more