Discoid lupus erythematosus is a benign disorder generally seen in younger females. It very rarely progresses to systemic lupus erythematosus (in less than 5% of cases).
Discoid lupus erythematosus is characterized by follicular keratin plugs and is thought to be autoimmune in etiology.
Clinical Features
- erythematous, raised rash, sometimes scaly
- may be photosensitive
- more common on face, neck, ears and scalp
- lesions heal with atrophy, scarring (may cause scarring alopecia), and
- pigmentation
Management
- topical steroid cream
- oral antimalarials may be used as second line e.g. hydroxychloroquine
- avoid sun exposure
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