Doctor insights on:
How Long Should Subacute Cutaneous Lupus Last
Biopsy, blood test: Rashes are not always easy to diagnose. Simple acne or severe plaque psoriasis may not require further tests to diagnose the condition. In scle, the rash may require a biopsy which is the very best test. Blood tests may reveal a positive antinuclear antibody (ANA) and a positive ssa antibody. ...Read more
Skin is the largest and one of most complex organs of body. 3 layers: epidermis (outer), dermis (main part) and subcutaneous layers covers entire body, contains many specialized cells, maintains body temp, gathers sensory info from the outer world, has extremely important immune functions. It can give crucial clues as to what is internal. Dermatology and plastic surgery are ...Read more
Tests for cutan lupu: Extractable nuclear antigen known as ena, also known as antiro/la antibodies are aalways positive in patients with subacute cutaneous lupus and skin biopsy may be diagnostic.Direct immunoflorescence test may show positive antibody deposition along the basement membrane. ...Read more
Rash: There are different types of subacute cutaneous lupus (scle) - a characteristic form has lesions that may have an annular configuration, with raised red borders and central clearing. A second type of scle has psoriasis-like lesions with red scaly patches on the arms, shoulders, neck, and trunk and fewer patches on the face. This rash is characteristically made worse by sunshine - photosensitive. ...Read more
How do the rashes associated with annular lichen planus and subacute cutaneous lupus differ in appearance?
No sun, some Rx: Sun protection, topical steroids. 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 are the possible side effects/long term issues related to cutaneous lupus? I currently have vasculitis in my legs. What else could be of concern?
It is always: important to make sure you truly have the cutaneous type and not the systemic type. Simple blood tests may help. Also having a good Rheumatologist to help with the definitive diagnosis would be important. ...Read more
What diagnostic tests are there for cutaneous lupus? Do you have to wait until symptoms (a rash) re-occur to get diagnosed?
Multiple factors: Please consult this site for diagnostic criteria for lupus. http://www.lupus.org/answers/entry/lupus-diagnostic-criteria ...Read more
Does chronic cutaneous discoid lupus eryhermyosolus turn systemic if you have positive ANA 1:1280 normally.
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