DISCOID LUPUS ERYTHEMATOSUS
Essentials of Diagnosis
•
On face there will be localised red plaques.
•
Scaling and follicular plugging.
•
Dyspigmentation.
•
Arms are mostly involved.
•
Permanent hair loss and loss of pigmentation.
•
Lesions may be covered by dry, horny adherent scales.
Treatment
o
Protect body from sun light
o
Use sun blocker with high SPF > 30
o
High potency corticoid creams to be applied each
night
o
Chloroquine sulfate 250 mg daily may be
effective
o
Thalidomide is a potent teratogen but is very
effective in refractory cases
o
Disease is persistent but life does not remain
in danger.
