![]() About half of patients with SLE develop this rash after ultraviolet light (sun) exposure. The malar rash, also known as the butterfly rash, extends from the cheeks across the nasal bridge. The hallmark condition of chronic cutaneous lupus is discoid lupus erythematosus (DLE). Lastly, chronic cutaneous lupus can be further subdivided into a number of cutaneous findings including discoid, tumidus, profundus and chilblains. This generally does not lead to scarring. Subacute cutaneous lupus (SCLE) usually involves rashes on sun-exposed areas. The prototypical example of acute cutaneous lupus is the malar rash. What are the types of cutaneous lupus?Ĭutaneous lupus can be divided into three groups: It follows that only the minority of cutaneous lupus patients go on to develop SLE, but that many SLE patients will show signs of cutaneous lupus at some point. Similarly, although many SLE patients develop cutaneous disease (some studies estimate this to be about 80% of patients over the course of their lupus), it does not mean all patients will develop cutaneous lupus. In fact, the overwhelming majority of patients who present with discoid lupus will not develop systemic lupus. A patient may be diagnosed with cutaneous lupus, but that does not mean that the patient has SLE, which can affect multiple organ systems of the body. Cutaneous lupus refers to a form of the disease in which symptoms are restricted to those that affect the skin. It is important to distinguish cutaneous lupus from systemic lupus erythematosus (SLE). The major role that cutaneous findings play in all three of these criteria highlights the importance of cutaneous symptoms in lupus. EULAR (European Alliance Associations for Rheumatology-2019)Īlthough more complicated than the 1997 ACR criteria, both SLICC and EULAR incorporate the above four cutaneous (skin-related) criteria but also emphasize nonscarring alopecia and subacute cutaneous lupus erythematosus (SCLE).SLICC (Systemic Lupus International Collaborating Clinics-2012).Two more recent sets of criteria, both of which build upon the 1997 ACR criteria, have since been established: ![]() ![]() oral ulcers − mucosal membrane ulcerations, often found on oral surfaces.photosensitivity − sensitivity to sunlight/UV light, which can lead to rashes and other symptoms.discoid rash − red patches on the skin that can lead to scarring.malar rash − “butterfly rash” that appears on the cheeks.Of the 11 criteria set by the American College of Rheumatology in 1997, four are skin-related. Skin conditions associated with lupus can be significant and play a major role in both the diagnosis of lupus and its clinical course. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |