Discoid lupus erythematosus

Question 1

What is DLE?

Answer 1

A benign skin chronic condition

More common in women, smokers and darker-skinned patients

Usually presents between ages of 20 and 40

Question 2

What is DLE associated with? Complications

Answer 2

Increased risk of developing SLE (still <5%)

Rarely the lesions can progress to SCC

Scarring alopecia (hair loss in affected areas)

Hyper-pigmented and hypo-pigmented scars

Question 3

Presentation of Discoid lupus erythematosus

Answer 3

Lesions typically on face, ears and scalp

• Photosensitive
• Inflamed
• Dry
• Erythematous
• Patchy
• Crusty and scaling

Question 4

Management of DLE

Answer 4

Skin biopsy can be used to confirm diagnosis

Treat with:

• Sun protection
• Topical steroids
• Intralesional steroid injections
• Hydroxychloroquine