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Rheumatology

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Question:

How is SLE clinical manifestation of skin?

Author: H K



Answer:

Acute rashes, malar rash (butterfly rash, transient or permanent rash non scarring, erythematous raised lesion pruritic or painful, malar distribution photosensitive), subacute rashes, subacute cutaneous LE (10% of SLE pt, photosensitive, begin as small erythematous lesion in back), chronic rashes, discoid lupus erythematous (DLE, up to 25% of pt, discrete erythematous slightly infiltrated plaques, active inflammation at periphery and heal leave a scar or dyspigmentation, on face neck and scalp Others (lupus profundus, lupus tumidus, livedo reticularis, vasculitis, periungeal erythema, alopecia [scarring or lupus hair]) Photosensitivity (inflammatory rash after UV exposure, from sunlight or fluorescent light, lasts days to weeks, 60-100% of pt with SLE)


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H K
H K