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Discoid Lupus Erythematosus in a 23-Year-Old African American Woman
Note that some lesions occur within the outer ear, quite typical for the diagnosis of discoid lupus.
A 23-year-old African American woman was concerned about the appearance of discolored, tender spots on the face. She worked indoors, but played tennis outdoors several times weekly.
Key point: The lesions consist of variably shaped areas of atrophy and hypopigmentation, surrounded by a rim of hyperpigmentation. Note that some lesions occur within the outer ear, quite typical for the diagnosis of discoid lupus erythematosus. All serologic tests were negative and renal function tests were normal.
Treatment: Sun avoidance and sun protection (hat, broad-spectrum, high SPF-rated sunblock) are important. While topical corticosteroids may help, this disorder is most often managed with oral antimalarial agents, such as hydroxychloroquine.
Note: The prognosis is quite good for patients with this type of lupus; progressive systemic disease rarely develops.
Primary Viewpoints Episode 7: Antidepressants for Back Pain, Osteoarthritis Pain
February 25th 2021Listen to our newest podcast episode where the lead author of a recent meta-analysis shares his findings on the safety and efficacy of antidepressant medications to treat back and osteoarthritis pain.
Podcast: Arthritis, Anxiety, and Depression: Managing a Common Comorbidity
May 14th 2012Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain.
