This rash is so-named because it resembles a butterfly, spanning the width of the face and covering both cheeks and the bridge of the nose. Common Lupus Skin Problems Malar RashĪbout half of all lupus patients experience a characteristic rash called the malar or “butterfly” rash that may occur spontaneously or after exposure to the sun. ![]() Therefore, it is very important that people with ACLE wear sunscreen and protective clothing when going outdoors. The lesions characteristic of ACLE usually occur in areas exposed to the sun and can be triggered by sun exposure. ![]() Most people with ACLE have active SLE with skin inflammation, and ACLE lesions are found in about half of all people with SLE at some point during the course of the disease. Acute Cutaneous Lupus Erythematosus (ACLE) People with SCLE should be sure to put on sunscreen and protective clothing when going outdoors in order to avoid sun exposure, which may trigger the development of more lesions. Treatment can be tricky because SCLE lesions often resist treatments with steroid creams and antimalarials. About half of all people with SCLE will also fulfill the criteria for systemic lupus. The lesions characteristic of this condition usually do not scar, do not appear thick and scaly, and usually do not itch. ![]() Subacute Cutaneous Lupus Erythematosus (SCLE)Ībout 10% of lupus patients have SCLE. In addition, you doctor may prescribe medications to help prevent and curb inflammation, including steroid ointments, pills, or injections, antimalarial medications such as Plaquenil, and/or immunosuppressive medications. If you are diagnosed with discoid lupus, you should try to avoid sun exposure when possible and wear sunscreen with Helioplex and an SPF of 70 or higher. A skin biopsy is used to diagnose this condition, and the lesions have a characteristic pattern known to clinicians: they are thick and scaly, plug the hair follicles, appear usually on surfaces of the skin exposed to sun (but can occur in non-exposed areas), tend to scar, and usually do not itch. People with SLE can also have discoid lesions, and about 5% of all people with DLE will develop SLE later in life. Chronic Cutaneous Lupus Erythematosus (CCLE) / Discoid Lupus Erythematosus (DLE)Ĭhronic cutaneous (discoid) lupus erythematosus is usually diagnosed when someone exhibits signs of lupus in the skin. Usually, a skin biopsy is used to diagnose forms of cutaneous lupus, and various medications are available for treatment, including steroid ointments, corticosteroids (e.g., prednisone), and antimalarials (e.g., Plaquenil). In addition, a person can also have one of the three forms outlined below without actually having full-blown systemic lupus erythematosus (SLE), but the presence of one of these disease forms may increase a person’s risk of developing SLE later in life. ![]() Three forms of specific skin disease occur in people with lupus, and it is possible to have lesions of multiple types. There are three major types of skin disease specific to lupus and various other non-specific skin manifestautions associated with the disease. In fact, skin conditions comprise 4 of the 11 criteria used by the American College of Rheumatology for classifying lupus. Most people with lupus experience some sort of skin involvement during the course of their disease.
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