Chronic Cutaneous Lupus Erythematosus

Chronic cutaneous lupus erythematosus is referred to as discoid lupus erythematosus (DLE). It is an eruption that results in scarring and pigmentary changes in the skin. DLE is most commonly seen in African-Americans. Only 10 percent of patients with this type of lupus develop systemic disease.

Clinically, the lesions of DLE occur in a photodistributed area, especially on the face, ears, scalp, and neck. The lesions begin as erythematous or hyperpigmented papules or plaques that enlarge leaving central depigmentation ( Fig 2.3.8.-3.). Follicular plugging may be visible, especially in ear lesions. On the scalp, a scarring alopecia with typical discoid lesions may occur. More extensive involvement of the trunk and extremities is more likely to be associated with systemic disease.

Hyperpigmented Ear Lesion

FIG. 238-3. Discoid lupus erythematosus. The external ear and preauricular cheek is a common site of involvement. Central depigmentation with surrounding erythema and hyperpigmentation is typical of discoid lupus erythematosus.

The lesions of DLE are quite characteristic and the diagnosis can often be made clinically. A skin biopsy is performed to confirm the diagnosis or to make a diagnosis in atypical clinical presentations. As DLE is a chronic disease and individuals suspected of having this disorder should be referred to a dermatologist for long-term management.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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