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Doctor insights on: Treatment Of Rash Discoid Lupus

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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?

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.

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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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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.

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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

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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.

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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

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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.

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Malaria as a child now diagnosed Discoid lupus erythematosus, Rash in ears and behind Started 2 weeks steroid cream why are Anti-malaria Drugs used?

Hydroxychloroquine: There is no association between your past history of malaria and recent diagnosis of discoid lupus. Hydroxychloroquine and similar medication has the additional benefits of being anti-rheumatic medication as well as anti-malarial. Best wishes

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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.

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How is discoid lupus different from normal lupus?

Lupus: Discoid lupus erythematosus (dle) is a chronic skin condition of sores with inflammation and scarring favoring the face, ears, and scalp and at times on other body areas. These lesions develop as a red, inflamed patch with a scaling and crusty appearance. The center areas may appear lighter in color with a rim darker than the normal skin. Discoid lupus can be divided into localized or generalized.

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How is discoid lupus different to systemic lupus?

Skin only: Discoid lupus is skin only, amd systemic lupus can affect skin but not always does.

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What is the definition or description of: discoid lupus?

What is the definition or description of: discoid lupus?

Dermal skin injury: 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). Sometimes mistaken for psoriasis.

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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.

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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.

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Can there be any pregnancy risks for women with discoid lupus?

No: Discoid le should prevent no problems. As a precaution, as a rheumatologist, I would make sure coagulation studies were normal prior to attempting pregnancy.

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I might have discoid lupus erythematosus. What is it like to be a patient?

I might have discoid lupus erythematosus. What is it like to be a patient?

Your personality: Discoid lupus is a relatively benign disorder and can usually be treated with medication. Different people have different reactions to a diagnosis and their responses vary as with any other life event. If your concern is about being a patient with dle, you should consider yourself fortunate that you do not have a more serious illness.

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Does chronic cutaneous discoid lupus eryhermyosolus turn systemic if you have positive ANA 1:1280 normally.

Does chronic cutaneous discoid lupus eryhermyosolus turn systemic if you have positive ANA 1:1280 normally.

Cutaneous lupus: Systemic lupus erythematosus can follow the rash of discoid lupus, but a high titer ANA does not make that diagnosis without other specific signs and symptoms of systemic lupus

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Should people diagnosed with sle or discoid lupus avoid taking the drugs associated with drug-induced lupus?

If possible: Certain drugs can affect lupus so if there is a choice it may be prudent to avoid three drugs however depending on your circumstance there may not be other options. If you must take a drug associated with lupus be vigilant in reporting any joint pains, fever, or unusual symptoms to your doctor.

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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.

Dr. John Chiu
2,647 Doctors shared insights

Skin Rash (Definition)

A skin rash is a symptom in which a person has changes on part or all of his skin, such as color changes, bumps, blisters, oozing, peeling, ...Read more


Dr. Cornelia Franz
1,059 Doctors shared insights

Rash (Definition)

A rash is a change to skin condition which can affect color, appearance, or texture. It may or may not ...Read more