Doctor insights on:
Discoid Lupus Erythematosus Medication
Malaria as a child now diagnosed Discoid lupus erythematosus, Rash in ears and behind Started 2 weeks steroid cream why are Anti-malaria Drugs used ?
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
Your personality: Discoid lupus is a relatively benign disorder and can usually be treated with medication. Different people have different reactions to a diagnosis and their responses vary as with any other life event. If your concern is about being a patient with dle, you should consider yourself fortunate that you do not have a more serious illness. ...Read moreSee 2 more doctor answers
No: There are none other than using sunscreens. ...Read more
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
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
Should Dentist's be informed of a patient with Discoid Lupus Erythematosus for anaesthetic injections for wisdom tooth removal a different type used?
Can active systemic lupus erythematosus be caused by prescription medication? Need expert opinions!
Drug-induced lupus: Yes, some prescription medications can definitely cause drug-induced lupus which often will resolve after the drug is stopped. Many of the drugs that can cause lupus do NOT cause lupus in the majority of people treated with them. There may be genetic susceptibility to drug-induced lupus and/or the right trigger. Many possible meds. Best way is to be evaluated by a board certified rheumatologist ...Read more
What to do if I have been dealing with active systemic lupus erythematosus. can it be caused by prescription medication?
Yes: Certain meds can cause a drug-induced lupus. Google the subject and you will find the complete list. ...Read more
Discoid lupus: Yes, several treatments are topical as well as the possiblity of pulsed dye laser. Remember sunscreen and sun protection with clothing including hats. Stop smoking if you are because it worsens the problem. A visit to a dermatologist to discuss all of the options and devise a treatment plan for you is highly recommended. http://emedicine.medscape.com/article/1065529-treatment ...Read more
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 moreSee 1 more doctor answer
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
What drugs do I use for lumps n discolouration and bald patches when diagnosed with discoid lupus?Am on methyl predisolone at the moment n not working
Chronic changes: Discoid lupus can heal but it can take a long time - weeks to months because the skin has been injured. It is hard to be patient. Talk to your dermatologist about topical medications and oral medications to help bring your skin condition under control. Steroid injections into the skin are also helpful. ...Read more
I have heard from a specialist that Hydroxychloriquine is a very gentle drug the weakest and safest of all drugs for Discoid Lupus that rhuematologists use. ,and is not an immunosuppressive so won't affect immune system .Very effective for DLE.True?
Yes: Good luck. If you need a systemic Rx rather than topical, this is a good try-first. ...Read more
No cure but ...: Lupus cannot be cured but the symptoms can often be controlled. In the 1950s, 60% of lupus patients died within five years. Now, more than 90% survive beyond five years. Lupus can be mild. Many lupus patients have non-life threatening disease. Lupus can be severe. Kidney or brain involvement portends a worse prognosis. ...Read more
Autoimmune disease: A disease in which your body makes antibodies against your own cells. These antibodies cause destruction and inflammation which produce a wide variety of symptoms depending on what cells are being injured. There are some common symptoms and signs with the disease, but just about any symptom could be produced by lupus. ...Read moreSee 1 more doctor answer
SLE: Is a systemic disease and is a form of vascullitis, which means that there is inflammation in the blood vessels as a result it is a multi-system disease and can affect any organ in the body. When the brain is affected it can lead to changes in mood, psychosis and even coma. Leukopenia is a recognized feature of SLE at some point in the course of the disease. It can affect the kidneys, joints etc ...Read more
It is magic?: 1the use of anti-malarials in autoimmune diseases was accidentally discovered in treating wwii vets for malaria. Those with RA improved. Chloroquine and ho-q were tested in sle, with very positive results. In the early 80's canadian researchers definitively showed fewer sle flares with ho-q. It is considered the rx of first choice for :sle. We now understand more of the mechanisms, but not all. ...Read more
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