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Lupus RashesBolognia, J et al, Dermatology 4th Ed INCLUDEPICTURE "C:\\var\\folders\\lx\\3drk49kx26b980s657r8rl1r0000gn\\T\\com.microsoft.Word\\WebArchiveCopyPasteTempFiles\\page83image1810112" \* MERGEFORMAT Acute Cutaneous LupusMalar ErythemaButterfly rashNon-ScarringSpares Nasolabial foldsWorsened by sun exposureAcute maculopapular rashMore generalized rash can occur on forehead, chest and bodyWorsened by sun exposureSubacute Cutaneous LupusSCLEErythematous, scaly, and polycyclic or ring‐ shaped macules and papules predominantly on the upper chest and back Marked Photosensitivity ACR Image LibraryChronic Cutaneous Lupus ACR Image LibraryDiscoid LupusTriggered by sun and traumaErythematous papules/plaques that can turn into larger chronic lesions with central areas of epithelial thinning and atrophy and with follicular plugging and damage.Can cause depigmentation, scarring and patchy alopeciaLupus PanniculitisFirm or depressed nodules located on the trunk, proximal extremities, face and breasts Inflammation is in the deep dermis and underlying fat Causes lipoatrophy Bednarek A et al, Advances in Derm and AllergyLupus TumidusRed urticarial‐like plaques on the head and upper body Usually in a sun exposed distribution Kreuter A et al, Arch Dermatology 2009West, Sterling. Rheumatology Secrets E-Book. Elsevier Health Sciences. Kindle Edition. ................
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