Synonyms
Alopecia in systemic disease; Discoid scarring alopecia; Hair loss in SLE; Lupus hair loss
Definition
The clinical presentation of lupus erythematosus (LE) may be confined to cutaneous disease or may involve various internal organs. Alopecia may occur with cutaneous and/or systemic lupus erythematosus. Hair loss over the scalp may range from localized scarring type of alopecia to non-scarring hair loss.
Discoid Lupus Erythematosus
Epidemiology
According to the Gilliam classification for cutaneous LE, DLE is considered an LE-specific skin lesion under the chronic cutaneous LE (CCLE) category. It is the most common clinical presentation of CCLE and commonly affects the scalp.
In patients with DLE, the scalp may be involved in 34–60 % of cases (Wilson et al. 1992; De Berker et al. 1992) and may be the only site affected in 10 % (Sontheimer and Mccauliffe 2002). Scalp DLE can be purely cutaneous or may be associated with SLE. DLE lesions may be the first clinical manifestation of...
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Bunagan, M.J.K., Banka, N., Shapiro, J. (2014). Hair Loss in Lupus Erythematosus. 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_547
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