Lupus And Your Skin – Causes, Effects, And Treatments

Lupus And Your Skin – Causes, Effects, And Treatments

Lupus is an autoimmune disease that can affect anyone, regardless of age, gender, or ethnicity. While the exact cause is not fully understood, lupus occurs when the immune system attacks healthy tissues, mistaking them for harmful invaders. This can result in widespread inflammation and damage to various parts of the body, including the skin1. The condition is known for its unpredictable nature, as symptoms can range from mild to severe and often vary significantly between individuals. Some may experience flare-ups triggered by stress, sunlight, or infections, making lupus a complex condition to manage.

For many, one of the most noticeable effects of lupus is its impact on the skin. Skin involvement is one of the most common manifestations of lupus, with symptoms like rashes, lesions, and photosensitivity being hallmark signs. The “butterfly rash,” which spans across the cheeks and nose, is particularly distinctive2. These skin-related symptoms can be more than just physical; they often have emotional and social implications, affecting a person’s self-esteem and quality of life.

How lupus affects the skin

Lupus affects the skin in several ways, manifesting in different types of lesions and conditions:

1. Acute Cutaneous Lupus Erythematosus (ACLE): This type often causes the classic butterfly rash and is closely linked to systemic lupus erythematosus (SLE). The rash can appear after sun exposure and may take weeks to resolve.

2. Subacute Cutaneous Lupus Erythematosus (SCLE): SCLE often results in red, scaly patches or ring-shaped lesions. These lesions are usually found on areas exposed to the sun, such as the arms and neck.

3. Chronic Cutaneous Lupus Erythematosus (CCLE): Also known as discoid lupus, CCLE causes thick, scaly, and dis-coloured patches on the skin. These lesions can lead to scarring and permanent hair loss if they occur on the scalp.

In addition to these types, lupus can make the skin hypersensitive to UV rays, a condition known as photosensitivity3. This reaction can trigger flare-ups or worsen existing lesions, further complicating the management of the disease.

Caring for lupus-affected skin

Managing lupus-related skin issues often requires a multidisciplinary approach. Dermatologists play a critical role in helping patients address the physical and aesthetic challenges posed by the condition. Here are some essential aspects of care:

1. Avoid sun exposure

Protecting the skin from the sun is crucial for those with lupus. Use broad-spectrum sunscreen daily, even on cloudy days, and wear protective clothing like wide-brimmed hats and long sleeves. Staying in the shade and avoiding peak sunlight hours (10 a.m. to 4 p.m.) can also help.

2. Gentle skincare routine

A gentle skincare routine using mild, fragrance-free products can help maintain skin health without causing irritation. Avoid harsh exfoliants or treatments that can aggravate sensitive or inflamed skin.

3. Medications

Topical steroids, oral medications, and antimalarial drugs like hydroxychloroquine are commonly prescribed to manage lupus-related skin conditions. These treatments help reduce inflammation and control flare-ups. Consulting a dermatology clinic with expertise in autoimmune skin disorders can ensure you receive appropriate care.

4. Regular monitoring

Lupus patients are at an increased risk of developing skin cancer due to prolonged sun exposure and the use of immunosuppressive medications. Regular check-ups, including a Singapore skin cancer and mole check, can help detect any abnormalities early and ensure timely intervention.

Advances in treatment options

Recent advancements in dermatology have expanded the treatment options available for lupus-related skin conditions. From advanced immunomodulating therapies to targeted skincare solutions, patients now have access to more effective ways of managing their symptoms. Certain trending ingredients for your skin, like antioxidants and anti-inflammatory agents, are gaining popularity for their soothing properties, although it’s essential to consult a dermatologist before trying any new products.

Additionally, laser therapies and other non-invasive procedures can help address scarring or pigmentation issues caused by lupus lesions, improving both the appearance and texture of the skin.

When to see a dermatologist

If you suspect that lupus is affecting your skin, it’s important to seek medical advice promptly. Signs to watch for include:

  • Persistent or recurring rashes
  • Lesions that worsen with sun exposure
  • Unexplained sensitivity or irritation
  • Changes in existing moles or new growths

Visiting a dermatologist can provide clarity and direction for managing your symptoms effectively. In Singapore, specialised services and comprehensive skin assessments are widely available, ensuring that your unique needs are met.

Conclusion

Living with lupus can be challenging, especially when it affects your skin. However, with the right care and guidance, it’s possible to manage symptoms and maintain healthy skin. Angeline Yong Dermatology is dedicated to helping individuals navigate their dermatological concerns with a compassionate, patient-centric approach. Reach out today to begin your journey towards healthier skin.

References

Systemic Lupus Erythematosus (Lupus). (n.d.). National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/lupus

Cutaneous photosensitivity (Concept Id: C0349506)  – MedGen – NCBI. (n.d.). https://www.ncbi.nlm.nih.gov/medgen/87601

Vevers, S. (2024, January 30). Why is sunlight a potential trigger for a lupus rash? https://www.medicalnewstoday.com/articles/lupus-rash-from-sun#:~:text=Lupus%20and%20light%20sensitivity,-Share%20on%20Pinterest&text=The%20most%20common%20symptom%20is,after%20exposure%20to%20UV%20light