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afya
DiscoidLupusE
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young middle aged females, african/asian 5% go on to SLE rash - sun-exposed areas - face / hands / scalp well defined Red scaly patches, follicular plugging, scarring, permanent hair loss, refer dermatology - Bx to confirm, screen for SLE stay out of sun, use hat and cream Rx - topical steroids (high potency), then Hydroxychloroquine 2nd line - dermatologist - oral steroids, ciclosporin, retinoids, azathioprine
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SystemicDerm