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Doctor insights on: Palmar Plantar Erosive Discoid Lupus

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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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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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Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?

Occam's Razor: Usually Systemic Sclerosis and/or limited Scleroderma is not characterized by arthritis like you describe. The typical biomarker the anti Scl-70 (anti-topoisermorase). Symptoms have to be put into context and better described than elbow and forearm pain. This one you should see a rheumatologist about. Dermatology would be useful as well. Best of luck! ...Read more

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Is the juvenile rheumatoid arthritis rash itchy?

Is the juvenile rheumatoid arthritis rash itchy?

Usually not: However, some older patients report pruritus (itching). ...Read more

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Which disease usually has the best prognosis: 1. SLE, 2. Rheumatoid arthritis, 3. Psoriasis or 4. Psoriatic Arthritis?

Which disease usually has the best prognosis: 1. SLE, 2. Rheumatoid arthritis, 3. Psoriasis or 4. Psoriatic Arthritis?

Impossible to say: It depends on the severity of each disease. Psoriatic would be considered the most benign. ...Read more

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High scl70, joint pain, fatigue,palmar erythema,telangiectasias,lung fibrosis,livedo reticularis,no hard skin! Can it be Scleroderma if no hard skin?

High scl70, joint pain, fatigue,palmar erythema,telangiectasias,lung fibrosis,livedo reticularis,no hard skin! Can it be Scleroderma if no hard skin?

Rheumatologist: The answer would be yes. These symptoms and signs are consistent with an autoimmune/connective tissue disorder. A rheumatologist is best qualified to evaluate and treat you after ordering appropriate tests. ...Read more

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What is chronic cutaneous lupus erthremyphosis

What is chronic cutaneous lupus erthremyphosis

See: Subacute cutaneous lupus is a subtype of lupus that can have a lupus and be associated with positive antibodies for sjogren's as well as thyroid disease. Rarely, does it ever transition to systemic lupus. Hope that helps. ...Read more

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+ ANA 1280 homogenous/speckled, negative ena. Thinning hair, sun rash, joint pain, fatigue, paresthesias. Have blau syndrome/eos-can this cause ^ana?

+ ANA 1280 homogenous/speckled, negative ena. Thinning hair, sun rash, joint pain, fatigue, paresthesias. Have blau syndrome/eos-can this cause ^ana?

See details: As you well know, this is an extremely rare condition. I could find no specific mention of its association with a positive ANA but i suspect any chronic inflammatory disease, especially one with an inflammatory arthritis can have the ability to generate a positive ana. The best advice is to discuss this with your rheumatologist if you are seeing one. ...Read more

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ANA 1:640, malar rash in sun, periodic leukopenia,pleuritic chest pain,photosens rashes,mouth sores,raynauds,muscle & joint pain;sed rate,C3,C4 normal?

ANA 1:640, malar rash in sun, periodic leukopenia,pleuritic chest pain,photosens rashes,mouth sores,raynauds,muscle & joint pain;sed rate,C3,C4 normal?

Malar rash: What you are reporting is not normal. Most of your problems could be caused by an autoimmune disease, most likely Lupus. You need to be seeing a doctor. Doctors who specialize in this type of disorder are Rhematologists. ...Read more

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Treatment of psoriatic arthropathy?

Treatment of psoriatic arthropathy?

Lots of treatments: There are many treatment options for psoriatic arthritis, see a rheumatologist to help you pick the one(s) that fit you best. ...Read more

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Are discoid lupus and sle different?

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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+ana speckled pattern, fibromyalgia, IBS inflamm. N hands/feet. Rhuematologist thinks it's RA instead of mctd. Is it possible with rnpab, IgG high?

+ana speckled pattern, fibromyalgia, IBS inflamm. N hands/feet. Rhuematologist thinks it's RA instead of mctd. Is it possible with rnpab, IgG high?

Yes: You do not mention the rheumatoid factor and ccp antibody results but an inflammatory polyarthritis can certainly be RA even with other autoantibodies positive. I personally believe that mctd if it does really exist is over diagnosed. Imo, if you follow these patients most turn out to have lupus. ...Read more

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What is lichenoid muscositis with perivasculitis, ulcerated?

What is lichenoid muscositis with perivasculitis, ulcerated?

Mucosal rash: This is inflammation of the mucous membranes that hugs underside of epidermis=lichenoid. Perivasculitis=inflammation around blood vessels. In mouth, can be lichen planus, lichenoid drug or allergic contact reaction, autoimmune diseases & others. Even canker sores. Direct immunofluorescence biopsy to tell which. In vulva, can also be lichen sclerosus. Some have risk of mouth cancer. Get diagnosis. ...Read more

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What is worse lupus or rheumatoid arthritis?

What is worse lupus or rheumatoid arthritis?

Neither: Both lupus and rheumatoid arthritis are serious autoimmune illnesses that can range from mild to severe. They can effect other organs in the body, not just the joints. The long term complications of these illnesses can be minimized by seeking care from an experienced rheumatologist. ...Read more

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What are the differences between lichen planus (lpp)& lupus erythematosus (le)?

What are the differences between lichen planus (lpp)& lupus erythematosus (le)?

Skin vs systemic: Lichen plan us is a skin and mucous membrane (mouth) disease. There are several forms of lupus. Some forms affect only the skin and can even look like lichen planus skin changes. The main firm (SLE) is a systemic total body, autoimmune disease not limited to the skin and mouth. Lupus Erythematosis is also associated with lab abnormalities not present in lichen planus ...Read more