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Doctor insights on: Discoid Lupus Flare Triggers

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Is it true Hydroxychloriquine is not indicated in the treatment of Discoid Lupus for flare up ?And in fact long term use is only indicated for SLE?

Is it true Hydroxychloriquine is not indicated in the treatment of Discoid Lupus for flare up ?And in fact long term use is only indicated for SLE?

It Depends: Hi Theresa905, According to drugs.com Hydroxychloriquine is used for SLE and Rhematoid Arthritis. As you know it is also used for Malaria treatment. Doctors can prescribe medications what is called off label. They may have seen improvement and know from experience that the medication is safe and effective. Hope that is helpful to you. Dr Lori Lange ...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


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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

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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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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

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Is there anything else I can do besides taking oral medication for discoid lupus?

Is there anything else I can do besides taking oral medication for discoid lupus?

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

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Is discoid lupus cancer?

Is discoid lupus cancer?

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