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Doctor insights on: Over The Counter Treatment For Discoid Lupus

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What is the treatment for discoid lupus erythematosus?

What is the treatment for discoid lupus erythematosus?

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

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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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?

Discoid lupus: Fortunately only about 5% of patients with discoid lupus (dle) go on to develop systemic lupus (sle). However dle can be disfiguring. I would certainly suggest he see a dermatologist to explore his treatment options. ...Read more

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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

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What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?

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 (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more

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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

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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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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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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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What do doctors do with discoid lupus?

What do doctors do with discoid lupus?

Several Rx's!: Discoid in some patients is easy to manage and in others hard. One thing the pt. Can do is avoid uv light. I typically put pts on Hydroxychloroquine @ 6mg/kg of body weight, and use Methotrexate subcutaneous 20-25mg/wk. I occasional add ridaura. Some patients do well with azathioprine. Others do well with cellcept (mycophenolate mofetil). Topical steroids and oral steroids are always options. ...Read more

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What is the difference between discoid lupus and discoid ecxema?

Distinct illnesses: Discoid lupus is a chronic, tough-to-manage illness that will require protection from light and some tricky medication decisions. Discoid / nummumlar eczema is usually trivial and easily managed with some topical creams. I'm hoping it's the latter. Best wishes. ...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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Does topicort LP cream work for discoid lupus?

Pretty good: Your physician may eventually add systemic Chloroquine or some other drug, and/or a topical agent such as tacrolimus. Discoid lupus can be a major nuisance and I hope that you are able to get a good result. ...Read more

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Are there safe alternative therapies for discoid lupus?

Are there safe alternative therapies for discoid lupus?

Avoid sun exposure: The most important therapy is to avoid sun exposure by using hats and or sun screen. ...Read more

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I have discoid lupus. Oxycodone fixes all of my ailments but doctors won't prescribe w?

Not a lupus med: Opioid narcotics such as oxycodone do not affect the underlying disease process of discoid lupus (dle), which is an autoimmune reaction against the skin. Opioids are associated with significant risks including dependence and overdose. Since they do not affect the actual process causing dle, your doctors are protecting you from potential risks of unnecessary medications. Dle needs other treatments. ...Read more

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Hydroxychloriquine, can it be used for Discoid Lupus (DLE) to prevent DLE becoming SLE?

NO: Use it for whatever it does for you. If you have DLE you must protect strictly against sun, UV, any radiation. Your DR may give you something for DLE or SLE. ...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 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