Types of Lupus

Lupus is a relatively uncommon but complicated disease with different types of skin involvement.

Lupus Erythermatosus:

Discoid lesions:

Discoid lesions are coin-like lesions on sun-exposed areas of the skin. Commonly affected areas include the scalp, ears, and the nose. In some cases, the lips, mouth, or tongue are affected. These lesions can be scarring. These lesions can even cause a scarring baldness if they affect the scalp. Discoid lesions should be treated to avoid further cosmetic problems. A small percentage of people with discoid lesions can develop a more severe systemic form of the disease that affects the other organs.

Sub-acute cutaneous lesions:

Sub-acute cutaneous lesions are red, scaly lesions. They do not normally cause scarring, but worsen when exposed to sunlight. Sometimes called butterfly rashes, they often occur on the cheeks in a shape that resembles butterflies, and is one of the hallmark symptoms of lupus. In some cases, they can occur elsewhere on the body too. This can cause significant cosmetic problems and be a source of distress. About half of the people with this symptom will develop systemic disease that affects other organs.

Non-dermatological problems:

Lupus is a complicated disease that can have many different symptoms, and for this reason, and the fact that it is relatively rare, that it is often misdiagnosed. Some of the symptoms go beyond the skin:

• Photosensitivity
• Joint pain and swelling, often in the fingers, hands, wrists, and knees
• Weight loss
• Fever
• Hair loss
• Fatigue

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