Hi Dr. Prasad, I have incomplete SLE and I have a rash on my lower arms that gets worse with sun exposure. They are tiny bumps grouped together that look somewhat white on the "tip". They itch a bit sometimes but not all the time. Could this be subcutaneous lupus or PLE? Thanks.
Hello. Thank you for writing to us at healthcaremagic
LE or lupus eythematosus can have varied clinical presentations on the skin. The lesions which you describe are likely to be either those of either sub acute cutaneous erythematosus (SCLE) Or Disseminated Discoid lupus erythematosus (DDLE). Classically these lesions are distributed on sun exposed sites, are scaly and may have features of atrophy as well e.g pigment loss and therefore appear white at places. Sun sensitivity and exacerbation on sun exposure are classical features of LE associated skin lesions. The lesions of LE would respond to topical potent steroids like clobetasol propionate 0.05%. Oral steroids and Antimalarials like hydroxychloroquin and chloroquin are also commonly prescribed for LE skin disease, both DLE and SCLE. It is important to emphasize here that sun protection and sunscreens are an essential part of management of LE. I would suggest that you visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription.
Regards
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What Caused An Itchy Rash On My Lower Arms?
Hello. Thank you for writing to us at healthcaremagic LE or lupus eythematosus can have varied clinical presentations on the skin. The lesions which you describe are likely to be either those of either sub acute cutaneous erythematosus (SCLE) Or Disseminated Discoid lupus erythematosus (DDLE). Classically these lesions are distributed on sun exposed sites, are scaly and may have features of atrophy as well e.g pigment loss and therefore appear white at places. Sun sensitivity and exacerbation on sun exposure are classical features of LE associated skin lesions. The lesions of LE would respond to topical potent steroids like clobetasol propionate 0.05%. Oral steroids and Antimalarials like hydroxychloroquin and chloroquin are also commonly prescribed for LE skin disease, both DLE and SCLE. It is important to emphasize here that sun protection and sunscreens are an essential part of management of LE. I would suggest that you visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription. Regards