Skip to main content

Discoid SLE

  • Reference work entry
  • First Online:
Encyclopedia of Medical Immunology
  • 471 Accesses

Synonyms

Chronic cutaneous lupus erythematosus; Discoid lupus erythematosus; Lupus erythematosus chronicus discoides

Definition

Discoid lupus erythematosus (DLE) is a chronic, autoimmune, inflammatory disease of the skin characterized by coin-shaped (discoid) lesions that give rise to scarring, atrophy, alopecia, and pigment changes as they heal. These lesions often occur on sun-exposed areas such as the face, ears, and hands although any cutaneous region as well as some mucosa can be affected.

Classification

The disease can present as localized, generalized, or childhood DLE (William et al. 2011)

  1. 1.

    Localized DLE: Lesions are found above the neck, with favored sites including the malar areas, bridge of nose, scalp (leading to alopecia), ears, and lower lip. This form of DLE may rarely involve the mucosa of the mouth, nose, eye, or vulva.

  2. 2.

    Generalized DLE: Less common than the localized form, generalized DLE often affects the thorax and upper extremities in addition to the head and...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 799.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 949.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Braun-Falco O, Plewig G, Wolff HH, Burgdorf WHC. Diseases of connective tissue. In: Bischoff W, editor. Dermatology. Berlin/Heidelberg/New York: Springer; 2000. p. 800–1.

    Google Scholar 

  • Callen JP, Fowler JF, Kulick KB. Serologic and clinical features of patients with discoid lupus erythematosus: relationship of antibodies to single-stranded deoxyribonucleic acid and of other antinuclear antibody subsets to clinical manifestations. J Am Acad Dermatol. 1985;13(51):748–55.

    PubMed  CAS  Google Scholar 

  • Denning DW, Griffiths CE. Muco-cutaneous retinoid-effects and facial erythema related to the novel triazole antifungal agent voriconazole. Clin Exp Dermatol. 2001;26:648–53.

    PubMed  CAS  Google Scholar 

  • Healy E, Kieran E, Rogers S. Cutaneous lupus erythematosus – a study of clinical and laboratory prognostic factors in 65 patients. Ir J Med Sci. 1995;164:113–5.

    PubMed  CAS  Google Scholar 

  • Lawrence JS, Martins CL, Drake GL. A family survey of lupus erythematosus. 1. Heritability. J Rheumatol. 1987;14:913–21.

    PubMed  CAS  Google Scholar 

  • LeFeber WP, Norris DA, Ryan SR, Huff JC, Lee LA, et al. Ultraviolet light induces binding of antibodies to selected nuclear antigens on cultured human keratinocytes. J Clin Invest. 1984;74:1545–51.

    PubMed  CAS  PubMed Central  Google Scholar 

  • Li Y, Zhao M, Yin H, Gao F, Wu X, Luo Y, Zhao S, Zhang X, Su Y, Hu N, Long H, Richardson B, Lu Q. Overexpression of the growth arrest and DNA damage-induced 45alpha gene contributes to autoimmunity by promoting DNA demethylation in lupus T cells. Arthritis Rheum. 2010;62(5):1438–47.

    PubMed  CAS  Google Scholar 

  • López-Tello A, Rodríguez-Carreón AA, Jurado F, Yamamoto-Furusho JK, Castillo-Vázquez M, Chávez-Muñoz C, et al. Association of HLA-DRB1*16 with chronic discoid lupus erythematosus in Mexican mestizo patients. Clin Exp Dermatol. 2007;32:435–8.

    PubMed  Google Scholar 

  • Meier CR, Sturkenboom MC, Cohen AS, Jick H. Postmenopausal estrogen replacement therapy and the risk of developing systemic lupus erythematosus or discoid lupus. J Rheumatol. 1998;25(8):1515–9.

    PubMed  CAS  Google Scholar 

  • Millard LG, Rowell NR. Abnormal laboratory test results and their relationship to prognosis in discoid lupus erythematosus. A long-term follow-up study of 92 patients. Arch Dermatol. 1979;115(9):1055–8.

    PubMed  CAS  Google Scholar 

  • Miot HA, Bartoli Miot LD, Haddad GR. Association between Discoid Lupus erythematosus and Cigarette Smoking. Dermatology. 2005;211:118–22.

    PubMed  Google Scholar 

  • Molina JF, et al. Ethnic differences in the clinical expression of systemic lupus erythematosus: a comparative study between African-Americans and Latin Americans. Lupus. 1997;6:63–7.

    PubMed  CAS  Google Scholar 

  • Norris DA, Whang K, David-Bajar K, Bennion SD. The influence of ultraviolet light on immunological cytotoxicity in the skin. Photochem Photobiol. 1997;65:636–46.

    PubMed  CAS  Google Scholar 

  • Rowell NR, Goodfield MJD. Connective tissue diseases. In: Champion RH, Burton JL, Burns DA, Breathnach SM, editors. Textbook of dermatology, vol. 3. 6th ed. Oxford: Blackwell Scientific; 1998. p. 2448.

    Google Scholar 

  • Trozak DJ, Tennenhouse DJ, Russell JJ. Lupus erythematosus. In: Weisberg RB, editor. Dermatology skills for primary care. New Jersey: Humana Press; 2006. p. 176–81.

    Google Scholar 

  • Von Schmiedeberg S, Rönnau AC, Schuppe HC, Specker C, Ruzicka T, Lehmann P. Combination of antimalarial drugs mepacrine and chloroquine in therapy refractory cutaneous lupus erythematosus. Hautarzt. 2000;51:82–5.

    Google Scholar 

  • Weber F, Fritsch P. Clinical differential diagnosis of cutaneous lupus erythematosus. In: Kuhn A, Lehman P, Ruzicka T, editors. Cutaneous lupus erythematosus. Berlin/Heidelberg/New York: Springer; 2005. p. 147–159.

    Google Scholar 

  • William DJ, Berger TG, Elston DM. Connective tissue diseases. In: Gabbedy R, Pinczewski S, editors. Andrews’ diseases of the skin: clinical dermatology, 11th ed. Philadelphia: Elsevier Saunders; 2011. p. 155.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Qianjin Lu .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this entry

Cite this entry

Lu, Q. (2014). Discoid SLE. In: Mackay, I.R., Rose, N.R., Diamond, B., Davidson, A. (eds) Encyclopedia of Medical Immunology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-84828-0_379

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-84828-0_379

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-84827-3

  • Online ISBN: 978-0-387-84828-0

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics