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Updated: Feb 5, 2026

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
Published on: May 16, 2025
A Pilot Study Characterizing Factors in Adherence to Cutaneous Lupus Treatment.
Teresa Ro1, Rechelle Z Tull1, Leah A Cardwell1
11 Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Patient adherence to topical corticosteroids for cutaneous lupus erythematosus (CLE) is suboptimal and decreases over time. Improving adherence may be more valuable than developing new treatments for this autoimmune skin condition.
Area of Science:
- Dermatology
- Autoimmune Diseases
- Pharmacology
Background:
- Cutaneous lupus erythematosus (CLE) is an autoimmune skin disease.
- Topical corticosteroids are a primary treatment for CLE.
- Treatment nonadherence, often due to irritation or inconvenience, can lead to treatment failure.
Purpose of the Study:
- To assess topical medication adherence in patients with CLE.
- To identify factors influencing adherence in CLE patients.
Main Methods:
- A single-center, open-label pilot study was conducted.
- Adherence to topical medication was evaluated in CLE patients.
Main Results:
- Adherence to topical medications in CLE patients was found to be suboptimal.
- Adherence tended to decline over the study period.
- Shorter treatment duration and higher perceived disease severity correlated with better adherence.
Conclusions:
- Topical medication adherence in CLE is a significant issue.
- Strategies to improve adherence could enhance treatment outcomes.
- Enhancing adherence may be as critical as developing novel therapies for CLE.
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