Systemic Lupus Erythematosus

Question 1

Notes on discoid lupus erythematosus

Answer 1

Characterised by follicular keratin plugs
Benign disorder, generally younger females
Rarely progesses to SLE (<5%)
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 2nd line (hydroxychloroquine), avoid sun exposure