The Manifestation of Discoid Lupus Erythematosus on the Scalp

February 2025 in “ Vestnik dermatologii i venerologii ”

Diana G. Dzhavaeva, Vitaliy T. Bazaev, Lamara M. Kobaidze, Albina G. Pashinyan

discoid lupus erythematosus scarred alopecia hydroxychloroquine aevit venarus ultraphonophoresis hydrocortisone DLE scarring hair loss Plaquenil vitamin A and E supplement topical steroid

TLDR Discoid lupus erythematosus can cause scarring hair loss on the scalp, needing ongoing treatment and specialist care.

This clinical case study examines a patient with discoid lupus erythematosus (DLE) on the scalp, a type of scarring alopecia. The patient experienced hair loss and scalp lesions, which were confirmed as DLE through various evaluations. The study emphasizes the importance of distinguishing DLE from other scarring alopecias and the critical need for early diagnosis to prevent further scarring. Treatment with hydroxychloroquine and topical therapies led to positive outcomes. The case highlights the necessity for regular monitoring and adherence to dermatological and rheumatological guidelines to manage the condition effectively.

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Research cited in this study

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research Primary Cicatricial Alopecia: Treatment Approaches and Classification

95 citations , November 2016 in “Journal of The American Academy of Dermatology”

Treatments for permanent hair loss from scarring aim to stop further loss, not regrow hair, and vary by condition, with partial success common.

research Treatment of Frontal Fibrosing Alopecia and Lichen Planopilaris: A Systematic Review

117 citations , March 2013 in “Journal of the European Academy of Dermatology and Venereology”

No effective treatment for frontal fibrosing alopecia was found, but oral 5-alpha-reductase inhibitors had the best response; for lichen planopilaris, topical corticosteroids were commonly used but had a high relapse rate.