question-icon

Suggest treatment for discoid lupus erythematosus

default
Posted on Tue, 20 Oct 2015
Question: Hi my wife got DLE skin problem.marks in ear, on forehead , lost hair in patches.
Which medicine to take.
How much time it will take.

XXXX
XXXX YYYY@YYYY
doctor
Answered by Dr. Mohammed Taher Ali (2 hours later)
Brief Answer:
Hydrooxychloquine & Topical steroids are the mainline of treatment

Detailed Answer:
Dear XXXXXXX Hi
Good Evening!
I appreciate your concern for your beloved wife.

First of all she must be clinically evaluated by a dermatologist before starting the treatment. A base line routine lab tests such as CBC, ESR, Urine examination, Kidney function tests, & anti nuclear antibodies should be done to rule out the possibility of systemic lupus erythemasosis (SLE).
The medications most commonly prescribed for DLE include:

1. Hydroxychloroquine tablet which is usually started at a low dose per day and, if there are no untoward gastrointestinal or other side effects,the dose can be increased to twice a day. It may take between 4 to 8 weeks for any clinical improvement.
2. Topical steroids are the mainstay of treatment of DLE. Usually a potent topical steroid applied twice a day, then switch to a lower-potency steroid as soon as possible.
3. Use of sunscreens & protective clothing and sun exposure should be avoided particularly between 10 AM and 4 PM.

Hope the suggestions given above could be useful in getting her treated.
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Mohammed Taher Ali

General & Family Physician

Practicing since :1988

Answered : 4915 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for discoid lupus erythematosus

Brief Answer: Hydrooxychloquine & Topical steroids are the mainline of treatment Detailed Answer: Dear XXXXXXX Hi Good Evening! I appreciate your concern for your beloved wife. First of all she must be clinically evaluated by a dermatologist before starting the treatment. A base line routine lab tests such as CBC, ESR, Urine examination, Kidney function tests, & anti nuclear antibodies should be done to rule out the possibility of systemic lupus erythemasosis (SLE). The medications most commonly prescribed for DLE include: 1. Hydroxychloroquine tablet which is usually started at a low dose per day and, if there are no untoward gastrointestinal or other side effects,the dose can be increased to twice a day. It may take between 4 to 8 weeks for any clinical improvement. 2. Topical steroids are the mainstay of treatment of DLE. Usually a potent topical steroid applied twice a day, then switch to a lower-potency steroid as soon as possible. 3. Use of sunscreens & protective clothing and sun exposure should be avoided particularly between 10 AM and 4 PM. Hope the suggestions given above could be useful in getting her treated.