Doctor insights on:
Discoid Lupus Erythematosus Treatment
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. 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
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
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
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?
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
Lupus erythematosus is a name given to a collection of autoimmune diseases, in which the human immune system becomes hyperactive and attacks normal, healthy tissues.Symptoms of these diseases can affect many different body systems, including joints, skin, kidneys, blood ...Read more
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