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Updated: Jul 4, 2026
05:39
Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
[Dermatologic manifestations in lupus erythematosus]
C Francès1, S Barète, J-C Piette
1Service de dermatologie-allergologie, hôpital Tenon, université Paris-6, 4, rue de la Chine, 75020 Paris, France. camille.frances@tnn.aphp.fr
La Revue De Medecine Interne
|June 20, 2008
Summary
Lupus erythematosus presents diverse skin lesions across its subtypes, often involving dermoepidermal dermatitis. Treatment primarily includes antimalarials and sun protection, with varied approaches for refractory cases.
Area of Science:
- Dermatology
- Rheumatology
- Immunology
Context:
- Lupus erythematosus encompasses various subsets with distinct dermatologic manifestations.
- Cutaneous lupus lesions are frequently characterized by dermoepidermal dermatitis.
- Vascular and nonvascular lesions are often associated with systemic lupus erythematosus.
Purpose:
- To differentiate between acute, subacute, and chronic lupus erythematosus based on clinical, pathological, and evolutionary features.
- To outline the therapeutic strategies for cutaneous lupus, emphasizing antimalarials and sun avoidance.
- To highlight the diagnostic and therapeutic distinctions between vasculitic and thrombotic vascular lesions in lupus.
Summary:
- Acute lupus lesions manifest on the midface or widely; subacute lesions can be annular or psoriasiform.
- Chronic lupus erythematosus includes discoid lupus, lupus tumidus, chilblain lupus, and panniculitis.
- Specific treatments like dapsone are noted for conditions such as bullous lupus.
Impact:
- Accurate diagnosis is crucial for effective management, especially differentiating vasculitis from thrombosis.
- Understanding the spectrum of lupus skin lesions aids in tailored therapeutic interventions.
- This review provides a framework for managing diverse cutaneous lupus presentations and associated lesions.
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