Systemic lupus erythematosus classification scheme: Difference between revisions
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**Lupus erythematosus-lichen planus overlap syndrome | **Lupus erythematosus-lichen planus overlap syndrome | ||
**Lupus erythematosus panniculitis (Lupus erythematosus profundus) | **Lupus erythematosus panniculitis (Lupus erythematosus profundus) | ||
**Subacute cutaneous lupus erythematosus, which causes nonscarring skin [[lesions]] on patches of skin exposed to sunlight.<ref name=niams>{{cite web |url=http://www.niams.nih.gov/Health_Info/Lupus/default.asp |title=Handout on Health: Systemic Lupus Erythematosus |accessdate=2007-11-23 |month=August | year=2003 |work=The National Institute of Arthritis and Musculoskeletal and Skin Diseases |publisher=National Institutes of Health}}</ref> | **Subacute cutaneous lupus erythematosus, which causes nonscarring skin [[lesions]] on patches of skin exposed to sunlight.<ref name="niams">{{cite web |url=http://www.niams.nih.gov/Health_Info/Lupus/default.asp |title=Handout on Health: Systemic Lupus Erythematosus |accessdate=2007-11-23 |month=August | year=2003 |work=The National Institute of Arthritis and Musculoskeletal and Skin Diseases |publisher=National Institutes of Health}}</ref> | ||
**Tumid lupus erythematosus | **Tumid lupus erythematosus | ||
**Verrucous lupus erythematosus (Hypertrophic lupus erythematosus) | **Verrucous lupus erythematosus (Hypertrophic lupus erythematosus) | ||
*Neonatal lupus erythematosus, a rare disease affecting babies born to women with SLE, [[Sjögren's syndrome]], or sometimes no autoimmune disorder. It is theorized that maternal antibodies attack the fetus, causing skin rash; liver problems; low blood counts, which gradually fade; and heart block, leading to [[bradycardia]].<ref name=niams/> | *Neonatal lupus erythematosus, a rare disease affecting babies born to women with SLE, [[Sjögren's syndrome]], or sometimes no autoimmune disorder. It is theorized that maternal antibodies attack the fetus, causing skin rash; liver problems; low blood counts, which gradually fade; and heart block, leading to [[bradycardia]].<ref name="niams" /> | ||
*Childhood systemic lupus erythematosus, the pediatric variant of systemic lupus erythematosus. | *Childhood systemic lupus erythematosus, the pediatric variant of systemic lupus erythematosus. | ||
*[[Drug-induced lupus erythematosus]], a drug-induced form of SLE; this type of lupus can occur equally in either gender. | *[[Drug-induced lupus erythematosus]], a drug-induced form of SLE; this type of lupus can occur equally in either gender. | ||
*[[Lupus nephritis]], an inflammation of the [[kidney]]s caused by SLE | *[[Lupus nephritis]], an inflammation of the [[kidney]]s caused by SLE | ||
*Complement deficiency syndromes | *Complement deficiency syndromes | ||
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==Diagnosis== | ==Diagnosis== | ||
===Physical Examination=== | ===Physical Examination=== |
Revision as of 23:14, 21 June 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Kiran Singh, M.D. [3]
Overview
Lupus is a chronic autoimmune disease in which the body's own defense system attacks otherwise healthy tissue. Clinically, it can affect multiple organ systems including the heart, skin, joints, kidneys and nervous system.
Classification
There are several types of lupus; in general, when the word lupus alone is used, reference is to systemic lupus erythematosus, as discussed in this article. Other types include:[1]
- Chronic cutaneous lupus erythematosus
- Discoid lupus erythematosus, a skin disorder that causes a red, raised rash on the face and scalp. Discoid lupus occasionally (1–5%) develops into SLE.[2]
- Localized discoid lupus erythematosus
- Generalized discoid lupus erythematosus
- Childhood discoid lupus erythematosus
- Chilblain lupus erythematosus (Hutchinson)
- Lupus erythematosus-lichen planus overlap syndrome
- Lupus erythematosus panniculitis (Lupus erythematosus profundus)
- Subacute cutaneous lupus erythematosus, which causes nonscarring skin lesions on patches of skin exposed to sunlight.[3]
- Tumid lupus erythematosus
- Verrucous lupus erythematosus (Hypertrophic lupus erythematosus)
- Discoid lupus erythematosus, a skin disorder that causes a red, raised rash on the face and scalp. Discoid lupus occasionally (1–5%) develops into SLE.[2]
- Neonatal lupus erythematosus, a rare disease affecting babies born to women with SLE, Sjögren's syndrome, or sometimes no autoimmune disorder. It is theorized that maternal antibodies attack the fetus, causing skin rash; liver problems; low blood counts, which gradually fade; and heart block, leading to bradycardia.[3]
- Childhood systemic lupus erythematosus, the pediatric variant of systemic lupus erythematosus.
- Drug-induced lupus erythematosus, a drug-induced form of SLE; this type of lupus can occur equally in either gender.
- Lupus nephritis, an inflammation of the kidneys caused by SLE
- Complement deficiency syndromes
Diagnosis
Physical Examination
Skin
Lupus Erythematosus Chronicus Disseminatus Superficialis
Face
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
Trunk
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
Extremity
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
-
Lupus erythematosus chronicus disseminatus superficialis. Adapted from Dermatology Atlas.[4]
Lupus Erythematosus Chronicus Verrrucous
Extremity
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Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
-
Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
Trunk
-
Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
-
Lupus erythematosus chronicus verrucous. Adapted from Dermatology Atlas.[4]
Lupus Erythematosus Profundus
Extremity
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Lupus erythematosus profundus. Adapted from Dermatology Atlas.[4]
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Lupus erythematosus profundus. Adapted from Dermatology Atlas.[4]
Subacute Cutaneous Lupus Erythematosus
Face
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Subacute cutaneous lupus erythematosus. Adapted from Dermatology Atlas.[4]
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Subacute cutaneous lupus erythematosus. Adapted from Dermatology Atlas.[4]
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Subacute cutaneous lupus erythematosus. Adapted from Dermatology Atlas.[4]
-
Subacute cutaneous lupus erythematosus. Adapted from Dermatology Atlas.[4]
Head
-
Subacute cutaneous lupus erythematosus. Adapted from Dermatology Atlas.[4]
Trunk
-
Subacute cutaneous lupus erythematosus. Adapted from Dermatology Atlas.[4]
-
Subacute cutaneous lupus erythematosus. Adapted from Dermatology Atlas.[4]
Systemic Lupus Erythematosus
Face
-
Systemic lupus erythematosus. Adapted from Dermatology Atlas.[4]
-
Systemic lupus erythematosus. Adapted from Dermatology Atlas.[4]
-
Systemic lupus erythematosus. Adapted from Dermatology Atlas.[4]
-
Systemic lupus erythematosus. Adapted from Dermatology Atlas.[4]
-
Systemic lupus erythematosus. Adapted from Dermatology Atlas.[4]
References
- ↑ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Chapter 8. ISBN 0721629210.
- ↑ Discoid Lupus Erythematosus
- ↑ 3.0 3.1 "Handout on Health: Systemic Lupus Erythematosus". The National Institute of Arthritis and Musculoskeletal and Skin Diseases. National Institutes of Health. 2003. Retrieved 2007-11-23. Unknown parameter
|month=
ignored (help) - ↑ 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30 4.31 4.32 "Dermatology Atlas".