This image displays typical scarring due to discoid lupus erythematosus. Discoid lupus erythematosus can have slightly elevated pink or red lesions. This image displays the ring-like, red, slightly elevated lesions typical of discoid lupus erythematosus. Circular dull, red spots that persist on the face are often the first sign of discoid lupus. This image displays a red, slightly raised lesions typical of early discoid lupus erythematosus. This image displays a patient with chronic discoid lupus. In discoid lupus erythematous, the skin can appear scarred with redness and scaling, as displayed in this image. The dull red, scaling patches of discoid lupus are often circular or disc-shaped.
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Picture of Discoid Lupus Erythematosus: This image displays typical scarring due to discoid lupus erythematosus. Divider line
This image displays typical scarring due to discoid lupus erythematosus.
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Treatments Your Physician May Prescribe
  • Blood tests and a biopsy will be done to confirm the diagnosis.
  • There is no cure, but treatment will control symptoms until the disease improves on its own, usually after months to years of treatment.
  • Topical corticosteroids are generally used first; for small areas, corticosteroids may be injected into the lesions.
  • Other topical immunosuppressive agents (such as tacrolimus or pimecrolimus cream) may be helpful.
  • Antimalarial drugs (hydroxychloroquine, chloroquine, or quinacrine) can be used for severe cases. 
  • Other oral medications may include dapsone, acitretin, isotretinoin, or gold. All oral medications have potential side effects. Recent studies have shown thalidomide to be effective, but it is generally reserved for severe cases that do not respond to other treatments, and doctors administer them with great caution due to their potential side effects.
Last Modified: 29 Feb 2008
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