What is Chronic Cutaneous Lupus Erythematus / Discoid Lupus?

Discoid lupus erythematosus (DLE) is cutaneous manifestation of the autoimmune spectrum of lupus erythematosus.  It is further classified as a form of chronic cutaneous lupus erythematosus which primarily affects the skin and hair follicles.   DLE is not considered a primary cicatricial alopecia, because the inflammation surrounds not only the hair follicle but many other structures in the skin.   If treated early, hair loss in DLE it is potentially reversible.  If not treated early, over half the patients will develop scarring alopecia.

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