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Discoid Lupus Erythematosus in a 44-Year-Old Woman
Concern about this flat, tan, atrophic, well-marginated, dime-sized lesion prompted a 44-year-old woman to seek medical advice. The lesion, which was mildly pruritic, had appeared 2 months earlier.
Concern about this flat, tan, atrophic, well-marginated, dime-sized lesion prompted a 44-year-old woman to seek medical advice. The lesion, which was mildly pruritic, had appeared 2 months earlier.
The patient had no significant medical history and reported no other symptoms. An incisional biopsy of the lesion was interpreted by a dermatopathologist as discoid lupus erythematosus.
Robert P. Blereau, MD of Morgan City, La, reports that the complete blood cell count, urinalysis, and erythrocyte sedimentation rate were all normal. Antinuclear antibody and serologic studies yielded negative results.
This patient was reassured that systemic lupus erythematosus is rarely associated with such skin lesions. She was cautioned to avoid sunlight and advised to use a sunscreen. The pruritus may be treated with topical fluorinated corticosteroids, but overuse of these preparations must be avoided.
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.
