Doctor insights on:
Is Cutaneous Lupus A Primary Or Secondary Lesion
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
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
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
Subacute cutaneous lupus: This is an autoimmune disease which is exacerbated by sun exposure. It includes a rash on sun exposed areas such as the face, chest, and arms. It may be seen in Inc. his and in adults. It is often associated with abnormal immunology studies such as an SSA and SSB autoantibodies. The treatment differs versus on the severity of the skin lesions and includes both topical and oral medications. ...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.
Does cutaneous lupus always present with positive ANA? What other tests besides skin biopsy can tell?
How do the rashes associated with annular lichen planus and subacute cutaneous lupus differ in appearance?
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
I had a biopsy of a reoccuring winter-time rash on my neck, and the results suggested possible cutaneous lupus. Can untreated sleep apnea raise risk?
No evidence: The is no evidence available that links cutaneous lupus with untreated sleep apnea. Sleep apnea tends to have more cardiovascular risks such as a heart attack, stroke or even contributing to blood clots. If there is a suspicion of sleep apnea, talk to your doctor about getting tested and treated. ...Read moreSee 1 more doctor answer
Are there any OTC treatments to reduce the scarring to the face from cutaneous lupus? Insurance won't cover dermatologist. Taking plaquenil (hydroxychloroquine) to treat.
MD says I have primary lupus &secondary sjogrens. My chart says lupus-sjogrens overlap syndrome.Is there a difference between listing them separately?
No: Your treatment will be the same. Kudos for taking charge and reading the documentation carefully! ...Read more
I have lupus, 3 days ago got very swollen with white under Lt side of tongue. Now have small red lesion spots on body, cause? Lupus? Measles?
Just found out I have a nonspecific abnormal lesion on my right side of brain. I have lupus. Could this be CNS lupus. Have numbness slurred speech?
See details: It is very difficult to determine if a single lesion is related specifically to lupus, to antiphospholipid antibodies, emboli or totally unrelated to all of these. You need to ask your doctors who have the detailed information needed to give you a precise answer. ...Read moreSee 1 more doctor answer
Is it ok to get pregnant with sjögren's and pots and a lesion on my brain and raynauds and possibly lupus? My docs ok it but i'm afraid to try.
Trust your doctors: Without knowing more specifics of history and lab results, it is impossible to even guess. I will say that you should trust the advice of the doctors who know you best. ...Read more
I have Lupus and just got over an infection in my nose. Now I have a blister like lesion on my face. Could these be indicative of a current flare?
- Talk to a doctor online
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