Top
30
Doctor insights on: Discoid Lupus Chronic Eczema

Share
1

1
What is the difference between discoid lupus and discoid ecxema?

What is the difference between discoid lupus and discoid ecxema?

Distinct illnesses: Discoid lupus is a chronic, tough-to-manage illness that will require protection from light and some tricky medication decisions. Discoid / nummumlar eczema is usually trivial and easily managed with some topical creams. I'm hoping it's the latter. Best wishes. ...Read more

Dr. Emily Altman
66 Doctors shared insights

Discoid Lupus (Definition)

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


2

2
Can chronic eczema be a sign of lupus, especially with a family history of lupus?

No!: Eczema is not associated with lupus. In my practice I have many patients with psoriasis & eczema with positive anas. They do not have arthritis, and clearly not lupus or related disease. On the other hand, both eczema and psoriasis affect 10% of the population. With that, one would think that 10% of sle patients have these skin diseases, but though common, just by chance, but they are not related. ...Read more

3

3
Does chronic cutaneous discoid lupus eryhermyosolus turn systemic if you have positive ANA 1:1280 normally.

Does chronic cutaneous discoid lupus eryhermyosolus turn systemic if you have positive ANA 1:1280 normally.

Cutaneous lupus: Systemic lupus erythematosus can follow the rash of discoid lupus, but a high titer ANA does not make that diagnosis without other specific signs and symptoms of systemic lupus ...Read more

4

4
Does any one treat discoid lupus?

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

5

5
Will discoid lupus give you any symptoms?

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

7

7
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

8

8
What do doctors do with discoid lupus?

What do doctors do with discoid lupus?

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

9

9
I have discoid lupus, can I donate blood?

Yes: While we understand that diseases like lupus is caused by antibodies in the blood that bind to your own tissues, it is still unclear if can be transferred to another patient. ...Read more

10

10
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

11

11
Does topicort LP cream work for discoid lupus?

Pretty good: Your physician may eventually add systemic Chloroquine or some other drug, and/or a topical agent such as tacrolimus. Discoid lupus can be a major nuisance and I hope that you are able to get a good result. ...Read more

12

12
Are there safe alternative therapies for discoid lupus?

Are there safe alternative therapies for discoid lupus?

Avoid sun exposure: The most important therapy is to avoid sun exposure by using hats and or sun screen. ...Read more

14

14
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

15

15
I have discoid lupus. Oxycodone fixes all of my ailments but doctors won't prescribe w?

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

16

16
Hydroxychloriquine, can it be used for Discoid Lupus (DLE) to prevent DLE becoming SLE?

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

17

17
Does discoid lupus ever just go away?

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

18

18
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

19

19
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

20

20
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

21

21
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

22

22
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

23

23
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

24

24
Can someone with discoid lupus get microdermabrasion?

Can someone with discoid lupus get microdermabrasion?

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

25

25
Is discoid lupus cancer?

Is discoid lupus cancer?

No: It is a chronic, autoimmune skin disorder and does not predispose to cancer. ...Read more

26

26
Are discoid lupus and sle different?

Yes: Discoid lupus is confined to the skin while systemic lupus can affect literally any organ of the body including the skin. ...Read more

27

27
Could you get pregnant if you have discoid lupus?

Yes: 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

28

28
I have discoid lupus- is there anything that will help get my rash to go away?

I have discoid lupus- is there anything that will help get my rash to go away?

Plaquenil (hydroxychloroquine): Hydroxychloroquine (Plaquenil) 200 to 400 mg daily is often effective in treating and preventing lupus skin rash.
Ask your doctor about the potential side effects and benefits. ...Read more

29

29
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

Dr. Barbara Stark Baxter
334 Doctors shared insights

Atopic Dermatitis (Definition)

A range of persistent skin conditions that include dryness and recurring skin rashes that are characterized by one or more of these symptoms: redness, skin edema (swelling), itching, crusting, flaking, blistering, cracking, or bleeding. The cause of eczema is unknown but is presumed to be a combination of ...Read more


Dr. Sanjiv Kaul
6 Doctors shared insights

Deshidrotic Eczema (Definition)

A condition in which tiny, fluid-filled blisters appear on the palms and fingers. ...Read more