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case 34 discoid lupus erythematosus

Updated: Jan 5

case female 30 years old came with multiple purplish rash with scaly and keratinous plug follow hair root  at scalp for almost two months

impression : discoid lupus erytheatosus

lab : skin biopsy at scalp

about DLE

  1. chance to have SLE 16.7 % within 3 years

  2. treatment : improve appearance and limited scar

  3. topical steroid and antimalarial drug

  4. hydroxychloroquine retinal toxicity initial eyes exam [CBC,LFT] and yearly dosage [200mg ] 1*2 for two months then 1*1

  5. pred 3*3

  6. caltab 1500 mg 1*2

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