ACLE causes the facial butterfly rash (malar rash). Subacute Cutaneous LE(SCLE) is a form of lupus that often starts as awidespread rash in areas exposed to sunlight. There are different types of CLE, each with different skin rashes. Treatments may include: Lupus rashes can last for days or weeks. You don't currently have a subscription to allow access to this publication. Acute cutaneous lupus erythematosus refers to the notorious malar rash that is almost always associated with systemic disease.41 Subacute cutaneous lupus erythematosus (SCLE) describes a photosensitive eruption that commonly forms annular lesions, but is associated with systemic disease only occasionally. It is not difficult to tell the difference. Lupus erythematosus. In: Bolognia JL, et al. Although we are teaching, the Office is closed Major US Holidays and Weekends. See additional information. References It can also prevent the flare-up of other lupus symptoms like fatigue and joint pain. A butterfly rash (malar rash) on the face affects many people with lupus, but lupus rashes can appear anywhere on your body. Other rashes can look like ringworm, including spider. These sores can feel uncomfortable. Learn which joints it usually affects and what you can do to manage the pain. If pruritus is present or treatment is desired, corticosteroids often are effective, but topical applications are preferred, as recurrence upon discontinuation of systemic agents is common.14,16, Erythema chronicum migrans (ECM) is the cutaneous manifestation of Lyme disease. Some rashes can scar. First- or second-generation antihistamines. There are different rashes associated with lupus and many don't itch, but some do. Instead of developing a rash that looks like eczema or psoriasis, some people with this type of cutaneous lupus get a ring-like rash from the sun. Morales-Burgos A, Snchez JL, et al. Appear on your lip or inside of your mouth. Reapply sunscreen every four hours. Acutely, lesions may ooze and have associated vesicles.38 Most will lack central clearing, although in some cases, plaques can expand and clear centrally, conferring an annular appearance.1 Lesions are especially common during winter months when skin is dry and primarily present on the lower legs, dorsal hands, and extensor surface of the arms.39 Excoriations often are prominent because of intense pruritus.36.
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