PMID- 10923142 OWN - NLM STAT- MEDLINE DCOM- 20000822 LR - 20220309 IS - 0755-4982 (Print) IS - 0755-4982 (Linking) VI - 29 IP - 23 DP - 2000 Jul 1 TI - [Subacute cutaneous lupus erythematosus]. PG - 1311-6 AB - SKIN LESIONS: The concept that patients with subacute cutaneous lupus erythematosus (SCLE) skin lesions represent a distinct lupus erythematosus subset was proposed in 1979 by Sontheimer and supported by many studies. Skin lesions are papulo-squamous, psoriasiform or annular. Photosensitivity is a common complaint and photo-reproduction is significantly frequent in these patients. They persist for weeks or months and typically heal without atrophy or scarring with hyperpigmentation or more often hypopigmentation. SYSTEMIC INVOLVEMENT: Systemic disease is generally quite mild and the prognostic is usually favourable. High-titer, precipitating antibodies to Ro/SSA and HLA DR2 and/or HLA DR3 are strongly associated with SCLE. In some observations, the relation-ship between SCLE and drugs has been recognized. TREATMENT: Antimalarial agents are first line systemic treatment. Other therapies, including Thalidomide are helpful for patients with resistant disease. The pathomechanisms of photosensitive SCLE involved antigens Ro/SSA, epidermal and dermal cytokines, intercellular adhesion molecules, mononuclear cells. FAU - Doutre, M S AU - Doutre MS AD - Service de Dermatologie, Hopital du Haut-Leveque, Pessac. FAU - Beylot-Barry, M AU - Beylot-Barry M FAU - Beylot, C AU - Beylot C LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Lupus erythemateux cutane subaigu. PL - France TA - Presse Med JT - Presse medicale (Paris, France : 1983) JID - 8302490 RN - 0 (Biomarkers) SB - IM MH - Acute Disease MH - Biomarkers/blood MH - Humans MH - Lupus Erythematosus, Cutaneous/complications/*diagnosis/physiopathology/*therapy MH - Prognosis RF - 50 EDAT- 2000/08/03 11:00 MHDA- 2000/08/29 11:01 CRDT- 2000/08/03 11:00 PHST- 2000/08/03 11:00 [pubmed] PHST- 2000/08/29 11:01 [medline] PHST- 2000/08/03 11:00 [entrez] PST - ppublish SO - Presse Med. 2000 Jul 1;29(23):1311-6.