Discoid lupus erythematosus in Adult
Patients of African and Hispanic descent are at increased risk. Only 5%-10% of patients demonstrate systemic involvement or will go on to develop systemic lupus erythematosus (SLE).
Squamous cell carcinoma may develop in chronic DLE scars, especially in sun-exposed areas.
Related topics: Tumid lupus erythematosus, Lupus panniculitis, Subacute cutaneous lupus erythematosus, Drug-induced SLE
L93.0 – Discoid lupus erythematosus
200938002 – Discoid lupus erythematosus
- Trichophyton tonsurans (tinea capitis) infections of the scalp can be very inflammatory and should be ruled out.
- Granuloma annulare
- Granuloma faciale
- Jessner benign lymphocytic infiltrate
- Lichen planus
- Lichen planopilaris
- Acute early lesions may resemble polymorphous light eruption.
- DLE lesions have been associated with chronic granulomatous disease. In familial cases, check for complement deficiency.
- Other forms of scarring alopecia, such as central centrifugal cicatricial alopecia.
- Burn scar
- Chronic radiation dermatitis
- Subacute cutaneous lupus erythematosus
- Squamous cell carcinoma
- Seborrheic dermatitis
- Chilblains (perniosis)