Discoid lupus erythematosus

Corrective camouflage of scalp depigmentation lesions, with central hypopigmentation and hyperpigmentation at the edge

Patient photographs

Before After

Description of the disease

Within the skin forms of lupus erythematosus, there are three major forms: acute, subacute, and chronic. Acute manifestations are usually associated with internal organ pathologies and are therefore not covered by this description. The subacute form is most frequently associated with drugs (including chemotherapy agents) and is characterised by marked photosensitivity and poor potential for scarring or atrophy. The sequelae are usually depigmentation, often with hypo- or depigmented lesions. After discontinuation of the drug involved, lesions may either regress or persist, requiring long-term therapeutic and cosmetic management. Finally, discoid lesions are among the most common manifestations and usually involve high cosmetic impact areas such as the scalp, face, and ears. These lesions are potentially disfiguring as they lead to atrophic and dyschromic scarring, specifically with sepia-coloured hyperpigmentation at the edges and hypochromia in the centre.

Dermocosmetic management