- Lupus erythematosus
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Lupus erythematosus Classification and external resources ICD-10 L93 (ILDS L93.010) ICD-9 695.4 Lupus erythematosus is a category for a collection of diseases with similar underlying problems with immunity (autoimmune disease).[1] Symptoms of these diseases can affect many different body systems, including joints, skin, kidneys, blood cells, heart, and lungs. Four main types of lupus exist — systemic lupus erythematosus, discoid lupus erythematosus, drug-induced lupus erythematosus, and neonatal lupus erythematosus. Of these, systemic lupus erythematosus is the most common and serious form of lupus.
Photosensitivity's relationship to and influence on the systemic manifestations of lupus remain to be defined. Mechanisms for photosensitivity might include: modulation of autoantibody location, cytotoxic effects, apoptosis induction with autoantigens in apoptotic blebs, upregulation of adhesion molecules and cytokines, induction of nitric oxide synthase expression and ultraviolet-generated antigenic DNA. Tumor necrosis factor alpha also seems to play a role in the development of photosensitivity.[2]
Contents
Types
Lupus erythematosus may manifest as a systemic disease or in purely cutaneous forms. Types of lupus erythematosus can be categorized into the following types:[3][4]
- Acute cutaneous lupus erythematosus
- Subacute cutaneous lupus erythematosus
- Chronic cutaneous lupus erythematosus
- Discoid lupus erythematosus
- Childhood discoid lupus erythematosus
- Generalized discoid lupus erythematosus
- Localized discoid lupus erythematosus
- Chilblain lupus erythematosus (Hutchinson)
- Lupus erythematosus-lichen planus overlap syndrome
- Lupus erythematosus panniculitis (Lupus erythematosus profundus)
- Tumid lupus erythematosus
- Verrucous lupus erythematosus (Hypertrophic lupus erythematosus)
- Discoid lupus erythematosus
- Complement deficiency syndromes
- Drug-induced lupus erythematosus
- Neonatal lupus erythematosus
- Systemic lupus erythematosus
See also
References
- ^ Fitzpatrick, Thomas B.; Klauss Wolff; Wolff, Klaus Dieter; Johnson, Richard R.; Suurmond, Dick; Richard Suurmond (2005). Fitzpatrick's color atlas and synopsis of clinical dermatology. New York: McGraw-Hill Medical Pub. Division. ISBN 0-07-144019-4.
- ^ Scheinfeld NS, Deleo V. Photosensitivity in lupus erythematosus. Photodermatol Photoimmunol Photomed. 2004;20:272-9. PMID 15379880
- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Chapter 8. ISBN 0721629210.
- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
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Cutaneous keratosis, ulcer, atrophy, and necrobiosis (L82–L94, 700–701.5) Epidermal thickening keratoderma: Keratoderma climactericum • Paraneoplastic keratoderma (Acrokeratosis paraneoplastica of Bazex ) • Aquagenic keratoderma · Drug-induced keratoderma · Paraneoplastic keratoderma • psoriasis (Keratoderma blennorrhagica)
keratosis: Seborrheic keratosis (Clonal seborrheic keratosis · Common seborrheic keratosis · Irritated seborrheic keratosis · Seborrheic keratosis with squamous atypia · Reticulated seborrheic keratosis · Dermatosis papulosa nigra) • Keratosis punctata of the palmar creases
other hyperkeratosis: Acanthosis nigricans (Confluent and reticulated papillomatosis) · Callus • Ichthyosis acquisita · Arsenical keratosis · Chronic scar keratosis · Hyperkeratosis lenticularis perstans · Hydrocarbon keratosis · Hyperkeratosis of the nipple and areola · Inverted follicular keratosis · Lichenoid keratosis · Multiple minute digitate hyperkeratosis · PUVA keratosis · Reactional keratosis · Stucco keratosis · Thermal keratosis · Viral keratosis · Warty dyskeratoma · Waxy keratosis of childhood
other hypertrophy: Keloid · Hypertrophic scar • Cutis verticis gyrata ·Necrobiosis/granuloma Granuloma annulare (Perforating, Generalized, Subcutaneous, Granuloma annulare in HIV disease, Localized granuloma annulare, Patch-type granuloma annulare) · Necrobiosis lipoidica · Annular elastolytic giant cell granuloma · Granuloma multiforme · Necrobiotic xanthogranuloma · Palisaded neutrophilic and granulomatous dermatitis · Rheumatoid nodulosis · Interstitial granulomatous dermatitis/Interstitial granulomatous drug reactionForeign body granulomaBeryllium granuloma • Mercury granuloma • Silica granuloma • Silicone granuloma • Zirconium granuloma • Soot tattoo • Tattoo • Carbon stainOther/ungroupedeosinophilic dermatosis (Granuloma faciale)Dermis/
localized CTDCutaneous lupus
erythematosusLocalized scleroderma (Localized morphea, Morphea–lichen sclerosus et atrophicus overlap, Generalized morphea, Atrophoderma of Pasini and Pierini, Pansclerotic morphea, Morphea profunda, Linear scleroderma)Atrophic/
atrophodermaLichen sclerosus · Anetoderma (Schweninger–Buzzi anetoderma, Jadassohn–Pellizzari anetoderma) · Atrophoderma of Pasini and Pierini · Acrodermatitis chronica atrophicans · Semicircular lipoatrophy · Follicular atrophoderma · Linear atrophoderma of MoulinKyrle disease · Reactive perforating collagenosis · Elastosis perforans serpiginosa · Perforating folliculitis · Acquired perforating dermatosisOtherUrticaria and erythema (L50–L54, 695, 708) Urticaria
(acute/chronic)Allergic urticariaUrticarial allergic eruptionPhysical urticariaCold urticaria (Familial) · Primary cold contact urticaria · Secondary cold contact urticaria · Reflex cold urticariaVibratory angioedema · Pressure urticariaAquagenic urticariaOther urticariaAcquired C1 esterase inhibitor deficiency · Adrenergic urticaria · Exercise urticaria · Galvanic urticaria · Schnitzler syndrome · Urticaria-like follicular mucinosisEpisodic angioedema with eosinophilia · Hereditary angioedemaErythema Erythema multiforme minor · Erythema multiforme major (Stevens–Johnson syndrome, Toxic epidermal necrolysis) · panniculitis (Erythema nodosum) · Acute generalized exanthematous pustulosisFigurate erythemaOther erythemaNecrolytic migratory erythema · Erythema toxicum · Erythroderma · Palmar erythema · Generalized erythemaThis cutaneous condition article is a stub. You can help Wikipedia by expanding it.