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Doctor insights on: Will Discoid Lupus Erythematosus Go Away With Treatment

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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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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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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. ...Read more

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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 ...Read more

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Should Dentist's be informed of a patient with Discoid Lupus Erythematosus for anaesthetic injections for wisdom tooth removal a different type used?

Should Dentist's be informed of a patient with Discoid Lupus Erythematosus for anaesthetic injections for wisdom tooth removal a different type used?

Inform dentist: You should inform your dentist or doctor about all of your health issues, any medications you take, including over the counter drugs, herbals, nutritional supplements and any street drugs.
Wish you good health. ...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?

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 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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Is there a cure for systemic lupus erythematosus (sle)?

SLE treatment: Systemic lupus erythematosus (sle) is a long-term autoimmune disorder that may affect the skin, joints, kidneys, brain, and other organs. There is no cure for sle. The goal of treatment is to control symptoms. ...Read more

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How can one cure systemic lupus erythematosus?

How can one cure systemic lupus erythematosus?

No cure but. ..: Lupus cannot be cured but the symptoms can often be controlled. In the 1950s, 60% of lupus patients died within five years. Now, more than 90% survive beyond five years. Lupus can be mild. Many lupus patients have non-life threatening disease. Lupus can be severe. Kidney or brain involvement portends a worse prognosis. ...Read more

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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. ...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 treatment for systemic lupus erythematosus?

What is treatment for systemic lupus erythematosus?

S L E: Systemic lupus erythematosus is an auto immune disease, that can affect skin, joints, kodneys, brain, and other organs. Auto immune means bodys immune system mistakenly attacks healthy tissues

it is treated with steroids and non steroidal anti inflammatory meds, avoid sun and wear protective clothing. Cytotoxic drugs if you do not respond to cortico steroids
cytotoxics have side effects need to be monit. ...Read more

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What is the treatment for systemic lupus erythematosus?

What is the treatment for systemic lupus erythematosus?

Many: Start with hydorxychoroquine dosed at 6.0mg/kg of body weight. Steroids id necessary for a flare. Other drugs that work well are azothioprine, cyclosporine, cellcept, (mycophenolate mofetil) and benlysta. More recently, some papers have touted rituxan. ...Read more

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How much should people with systemic lupus erythematosus pay extra for the insurance in usa?

None: The reason that insurance exists is to spread the risk of any single person having any disease is divided among many healthy people with no disease. Our current system is prejudiced against anybody with a "pre-existing" illness such as yours and makes you pay extra. Makes getting insurance (or keeping it) tough. It is a lose-lose;dr and patient, win for insurance company. My gripe with aca. ...Read more

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Can active systemic lupus erythematosus be caused by prescription medication? Need expert opinions!

Drug-induced lupus: Yes, some prescription medications can definitely cause drug-induced lupus which often will resolve after the drug is stopped. Many of the drugs that can cause lupus do NOT cause lupus in the majority of people treated with them. There may be genetic susceptibility to drug-induced lupus and/or the right trigger. Many possible meds. Best way is to be evaluated by a board certified rheumatologist ...Read more

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Does highly elevated antinuclear antibody result always mean systemic lupus erythematosus?

Does highly elevated antinuclear antibody result always mean systemic lupus erythematosus?

Not always: Unfortunately, there is no single laboratory test that absolutely rules in or out systemic lupus erythematosis (sle). Although a highly positive antinuclear antigen (ANA) is common in sle, diagnosis is based on a careful history, physical exam and laboratory evaluation. ...Read more

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Is the cognitive dysfunction that results from systemic lupus erythematosus typically permanent?

It depends: Lupus can cause both reversible and irreversible changes to the nervous system, and these can affect personality, memory, and other basic aspects of patients' lives. That said, simply being sick can aggravate depression, sleep deprivation, etc. Controlling pain and other disruptive elements of the disease, can improve quality of life and help people be more who they would like to be. ...Read more

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Prednisone is most likely to be indicated in the management of systemic lupus erythematosus due to what?

Prednisone is most likely to be indicated in the management of systemic lupus erythematosus due to what?

Antiinflammatory: Prednisone suppresses inflammation and thus it is intended to control the inflammation resulting from many diseases including lupus and rheumatoid arthritis. It is not a cure or specific for any disease, just a temporary solution. Long term high-dose prednisone can lead to many serious side effects. ...Read more

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What are the risks of getting your wisdom teeth extracted with systemic lupus erythematosus?

What are the risks of getting your wisdom teeth extracted with systemic lupus erythematosus?

Depends: If you have been on steroids recently for flare ups of sle, it could lead to post operative complications. Also, there is always a chance that there may be a latent cardiac problem that will only become apparent when you are under stress, like during a surgery. I would see and oral surgeon, and have him/her work with your physician to manage your case safely. ...Read more

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What gene causes lupus erythematosus?

What gene causes lupus erythematosus?

Many genes: The previous answer is right with several genes associated with lupus, but no one knows how those genes cause disease.

I think it's important to remember that there is likely many ways to develop lupus symptoms, and this will vary between people. So some of these known genes will be important for some, and not important for others. As we sequence more patients, we'll have more answers. ...Read more

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Why is the butterfly rash in systemic lupus erythematosus?

Why is the butterfly rash in systemic lupus erythematosus?

Thin skin: Thin area around the nose/cheeks is very sensitive to sun and the first to show sle signs. ...Read more

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Is systemic lupus erythematosus a kind of cancer disease, and is it fatal?

Is systemic lupus erythematosus a kind of cancer disease, and is it fatal?

Not a cancer: Sle is an autoimmune disease that can affects multiple organ including kidney, brain, joints, skin, blood, eyes etc. It is not cancer. Yes, it can be very debilitating and lethal if not treated properly. You need to see a rheumatologist and discuss in detail with your md. ...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

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Could it be lupus erythematosus contagious when your partner have sexual contact?

Could it be lupus erythematosus contagious when your partner have sexual contact?

Absolutely not: Systemic lupus erythematosus is an autoimmune disease that is not caused by any infectious agent. You can't catch it from someone else. People with lupus have their own white blood cells attack their own body. If you somehow transferred their white blood cells into you, your body would recognize them as foreign and destroy them immediately. ...Read more

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Could it be lupus erythematosus contagious when you have sexual contact with your partner?

Absolutely not: Systemic lupus erythematosus is an autoimmune disease that is not caused by any infectious agent. You can't catch it from someone else. People with lupus have their own white blood cells attack their own body. If you somehow transferred their white blood cells into you, your body would recognize them as foreign and destroy them immediately. ...Read more

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What can I use for systemic lupus erythematosus symptoms if I don't have a new doctor yet?

Many but need doctor: The first thing to do is define your lupus, everyone with lupus is different. You need to contact your physician - see a rheumatologist, define your lupus and then you decide on your treatment. Not everyone with lupus needs meds, but you need good health habits - no smoking, exercise, etc defining your type of lupus will clarify the best medications for you to take. ...Read more

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Please help! What is the difference between lichen planus (lpp)& lupus erythematosus (le)?

Please help! What is the difference between lichen planus (lpp)& lupus erythematosus (le)?

Difference: Lp no cure, cause unknown, not understood well by medicine. Le is an autoimmune disease, no cure, treatment is to treat the symptoms with drug therapy. Please consult your md. ...Read more

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Can systemic lupus erythematosus cause swelling in one hand?

Can systemic lupus erythematosus cause swelling in one hand?

Yes: A common symptom of sle is arthritis or joint pain and swelling which can involve just one hand. Usually there will be other symptoms as well such malar rash (red rash over the cheeks), increased sensitivity to sun, possibly hair loss and rash on the body, hands or knuckles or scalp. ...Read more

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What are some alternative therapies for sle (systemic lupus erythematosus)?

What are some alternative therapies for sle (systemic lupus erythematosus)?

None: Diet and omega 3 fatty acids may help but there are no specific vitamin or herbal supplements for sle. Avoiding sugar and dairy is helpful for some people. Omega three fatty acids along with vitamin c and b complex may reduce symptoms. ...Read more

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With acute diffuse proliferative glomerulonephritis caused by systemic lupus erythematosus, why would a patient have uremia and hyperkalemia?

With acute diffuse proliferative glomerulonephritis caused by systemic lupus erythematosus, why would a patient have uremia and hyperkalemia?

SLE DPGN is bad.: The degree of remaining renal function dictates the inability of the kidney to excrete waste products and manage potassium levels. In any severe kidney disease when egfr approaches 15 ml/min uremia and elevated k+ levels are frequently noted. ...Read more

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What is the definition or description of: systemic lupus erythematosus diagnostic panel?

Labs for a + ANA: The antinuclear antibody test (ANA) is the initial screening test for lupus, but since it produces a lot of false positives, follow up testing for other auto antibodies is needed. The other tests in the panel are usually more specific for lupus, but less sensitive. Panels sometimes produce dubious results, so any positive test has to be taken in context. ...Read more

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Docs can you explain what is 'systemic lupus erythematosus' in clear details?

An auto immune disea: Systemic lupus is a auto immune disease that can affect any part of the body. The immune system of the patient attacks its own body cells and tissues, and that causes inflammation and damage to the tissues
it most often affecrs heart, skin. Joints, blood vessels, lungs, kidneys, liver and nervous system
the incidence of sle is 9 times in women than men. ...Read more

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What is difference between lupus erythematosus and polymorthic light eruption?

Autoimmune: Lupus is an autoimmune condition in which antibodies are made against your own body. Sun can trigger a flareup of rashes associated with lupus. Pmle on the otherhand is a variable rash on sun exposed areas such as the arms and chest that occurs early in the sunny season of the year. This does not have autoantibodies associated with it. These can be distinguished via blood work and a skin biopsy. ...Read more

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Systemic lupus erythematosus--what is sle?

Autoimmune disease: A disease in which your body makes antibodies against your own cells. These antibodies cause destruction and inflammation which produce a wide variety of symptoms depending on what cells are being injured. There are some common symptoms and signs with the disease, but just about any symptom could be produced by lupus. ...Read more

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Is systemic lupus erythematosus a kind of cancer?

Is systemic lupus erythematosus a kind of cancer?

No: It is an autoimmune disorder that can affect multiple organs. It is not cancer. ...Read more