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Doctor insights on: Discoid Lupus On Feet

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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

Dr. Emily Altman
62 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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What kind of condition is discoid lupus?

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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Is discoid lupus cancer?

Is discoid lupus cancer?

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

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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

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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

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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

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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

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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