Hi Dr. Prasad,I have incomplete SLE and I have a rash on my lower arms that gets worse with sun exposure. They are tiny bumps grouped together that look somewhat white on the "tip". They itch a bit sometimes but not all the time. Could this be subcutaneous lupus or PLE?Thanks.
Hello. Thank you for writing to us at Chat Doctor LE or lupus erythematous can have varied clinical presentations on the skin. The lesions which you describe are likely to be either those of either sub acute cutaneous erythematous (SCALE) Or Disseminated Discoid lupus erythematous (DALE). Classically these lesions are distributed on sun exposed sites, are scaly and may have features of atrophy as well e.g. pigment loss and therefore appear white at places. Sun sensitivity and exacerbation on sun exposure are classical features of LE associated skin lesions. The lesions of LE would respond to topical potent steroids like clobetasol propionate 0.05%. Oral steroids and Antimalarial like HY Chat Doctor. It is important to emphasize here that sun protection and sunscreens are an essential part of management of LE. I would suggest that you visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription. Regards