Discoid Lupus Erythematosus

Question 1

how does discoid lupus present?

Answer 1

1) Lesions can occur on the face, ear and scalp.
- The lesions are photosensitive and made worse by exposure to sunlight.
- Associated with scarring alopecia
- Hyper and hypopigmented scars.

Question 2

how would you describe the lesions seen in discoid lupus?

Answer 2

1) Inflamed
2) Dry
3) Erythematous
4) Patchy
5) Crusty and scaling

Question 3

how would you manage discoid lupus?

Answer 3

Management

• Skin biopsy to confirm diagnosis
• Sun protection
• Topical steroids
• Intralesional steroid injections
• HCQ

Question 4

define discoid lupus

Answer 4

• Discoid lupus erythematosus is a non-cancerous chronic skin condition.

Question 5

who is discoid lupus more common in?

Answer 5

• More common in women presenting in young adulthood 20-40 years.
• More common in dark skinned patients and smokers.