Subacute cutaneous lupus erythematosus
This form of LE comprises up to 10% of SLE cases and is characterised by the presence of persistent macular or slightly raised erythematous lesions on the upper trunk and arms. Females are affected more than males.
Serology:
- circulating anti-Ro, anti-La antibodies and rheumatoid factor may be found.
- mild hypocomplimentaemia.
Features:
- tends to be benign - life-threatening systemic involvement tends to be uncommon.
Treatment:
- topical steroids and intralesional steroids.
- if topical therapy is not sufficient then alternatives include:
- prednisolone and cytotoxic drugs
- other antimalarial drugs eg mepacrine. Mepacrine may be used in combination with hydroxychloroquine
Related pages
Create an account to add page annotations
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.