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Your Online Guide » Common Illness » Lupus Signs and Symptoms

[S1222]Symptoms Of Lupus Erythematosus
by Groshan Fabiola, Gro
Discoid lupus erythematosus is a condition of the skin that generates localized or widespread circular lesions. Discoid lupus erythematosus is a chronic autoimmune condition. Instead of protecting the body against infectious organisms, certain dysfunctions of the immune system cause it to attack healthy body cells and tissues, producing lesions on the surface of the skin. The skin lesions caused by discoid lupus erythematosus can aggravate due to prolonged exposure to the sun. Most patients have localized skin lesions, predominantly on the body regions exposed to sunlight: scalp, face, neck and arms. However, some patients have skin lesions on unexposed regions of the body: chest, back or legs. These lesions can indicate the development of systemic lupus erythematosus, which involves serious abnormalities of the immune system.

While people with discoid lupus erythematosus mostly present recurring skin disorders, patients diagnosed with systemic lupus erythematosus can develop a wide range of diseases: cardiovascular diseases, tuberculosis, pneumonia, disorders of the gastrointestinal tract, diseases of the musculoskeletal or nervous systems.

Discoid lupus erythematosus is very common in women with ages between 18 and 50 and it rarely occurs in men. The skin disorder has the highest incidence in African American women, who commonly experience more intense symptoms of discoid lupus erythematosus. Although the actual causes of the disorder have not been identified, multiple inter-related factors are suspected for triggering the condition: genetic factors (inherited genetic abnormalities), hormonal factors (excessive levels of estrogen seem to facilitate the development of the disorder) and environmental factors (prolonged medical treatments with antibiotics). Discoid lupus erythematosus has a pronounced hereditary character, as the majority of affected people have a family history of the disorder.

The process of diagnosing discoid lupus erythematosus involves physical examination, laboratory analysis of skin samples and elaborate blood tests. If laboratory tests reveal dysfunctions of the immune system and the skin lesions are linked to discoid lupus erythematosus, the patients will be prescribed an appropriate medical treatment. Although the disorder can't be completely overcome through the means of the medical treatments available today, discoid lupus erythematosus can be controlled and its generated symptoms can be ameliorated. Patients diagnosed with discoid lupus erythematosus need to avoid exposure to sunlight in order to prevent aggravation of their skin lesions and the formation of permanent scars.

In the early stages of discoid lupus erythematosus, the skin lesions have a reddish, circular aspect and the borders of the affected skin present sharp prominences. In time, the skin may become scaly and crusty. When discoid lupus erythematosus affects the scalp, the disorder often involves temporary or even permanent hair loss. African American patients are exposed to a high risk of developing skin cancer and they should take special measures in avoiding sun burns. With the help of medical treatments and by avoiding prolonged exposure to sunlight, the skin disorder can be kept under control and its symptoms can be considerably ameliorated.

This form of lupus mostly affects women from 18 to 50 years. The cases of men suffering from discoid lupus erythematosus are very rare. The racial factor seems to be decisive: the majority of patients are black American women and the symptoms are much more severe in their case. We cannot be certain about the real causes of this disease but there are several risk factors like the hormonal factors (such as estrogen excess), genetic factors and environmental factors (antibiotic long term treatment). The genetic factors have a particularly increased influence on the apparition of discoid lupus erythematosus compared to the other lupus forms.

Discoid lupus erythematosus appears under the form of large size lesions with circular aspect. Like all types of lupus, it also has an auto immune character: the immune system doesn't protect the body from the viruses or bacteria but attacks its healthy tissues, which causes skin lesions. Long term solar exposure significantly worsens discoid lupus. The neck, face, arms and scalp are the most affected areas in which the lesions appear. But it is not compulsory for them to be the only parts: lesions may also appear on the back, legs or chest, which suggests the evolution into systemic lupus erythematosus.

Systemic lupus erythematosus - unlike discoid lupus erythematosus that only affects the skin - can generate a series of severe disorders: tuberculosis, cardiovascular diseases, gastrointestinal problems, pneumonia, musculoskeletal or nervous system problems.

The diagnosis of discoid lupus erythematosus is only given after previous physical exams, analysis performed in laboratory on skin samples and complicated blood tests. The adequate medication will be given once the diagnosis is confirmed by the test results. Contemporary medicine doesn't have yet a cure for this condition but it may be kept under control and its signs - improved. But in order to have the best possible treatment result and to avoid the worsening of the lesion and a permanent scar formation, a patient with this condition must absolutely stay away from solar light.

The skin lesions that appear in the first phases of discoid lupus erythematosus are circular and reddish, with prominent borders. The next stages cause the scales and crusts on the skin's surface. In case it affected the scalp, the hair is lost; this may be temporary or permanent. The most at risk category is the black American population because they have more chances to develop skin cancer than others. The proper medication, doubled by the protection against sunlight will keep the disease controlled and an obvious improvement of the symptoms will be noticed.

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Both Groshan Fabiola & Tobias Higgens are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

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