Discoid Malar Rash Sle
Malar rash discoid rash photosensitivity and oral mucosal lesions as well as sle nonspecific skin manifestations their pathophysiology and management.
Discoid malar rash sle. Lupus is a somewhat rare condition likely underdiagnosed due to its. Cutaneous lesions account for four of these 11 revised criteria of sle. This condition causes a severe rash that. The exact cause is still unknown but hormonal and immunological influences as well as genetic predisposition are considered likely etiological factors.
Chronic cutaneous lupus erythematosus. Skin lesions in patients with lupus may be specific or nonspecific. The malar rash is a localized symptom of acute cutaneous lupus erythematosus acle a type of cutaneous lupus that is often triggered by sunlight is transient or temporary and non scarring. This paper covers the sle specific cutaneous changes.
Malar rash can be flat or appear raised and while it may be itchy and feel hot it is not painful. Discoid lupus discoid lupus erythematosus is a chronic autoimmune disease affecting the skin. Systemic lupus erythematosus sle affects several organs such as skin joints and kidneys and blood tests reveal circulating autoantibodies the clinical features of sle are highly variable and may overlap with other diseases and conditions. Malar rash colloquially known as the butterfly rash is an acute manifestation of sle present in 46 65 of patients vilá et al 2004 the rash is characterized by a symmetrical fixed erythematous maculopapular lesion with slight scale occurring over both cheeks and nose sparing the nasolabial folds figs 3 11 3 12 the rash is typically transient lasting from days to weeks.
Lupus erythematosus describes the typical rash of sle and the term systemic emphasises the potential for multi organ involvement. It gets its name from the coin shaped lesions it produces. Lupus erythematosus le is a group of diverse persistent autoimmune inflammatory diseases. However it can also present as a diffuse morbilliform eruption with erythema relative sparing over the joints and oedema of the hands.
Malar rash is present in 50 to 60 percent of people with systemic lupus erythematosus also known as acute cutaneous lupus. Systemic lupus erythematosus sle is a heterogeneous inflammatory multisystem autoimmune disease in which antinuclear antibodies occur often years before clinical symptoms. About 25 of patients with chronic cutaneous le also have systemic le. Discoid le is the most common form of chronic cutaneous le.
The cutaneous features of sle most commonly presents as symmetric erythema overlying the malar cheeks and nasal bridge with sparing of the nasolabial folds butterfly rash.