Table 2. Comparision of major types of CLE.
Disease features | SCLE | ACLE | Classic DLE |
---|---|---|---|
Clinical features of skin lesions | |||
Induration | 0 | 0 | +++ |
Dermal atrophy | 0 | 0 | +++ |
Pigment changes | ++ | + | +++ |
Follicular plugging | 0 | 0 | +++ |
Hyperkeratosis | ++ | + | +++ |
Histopathology | |||
Thickened basement membrane | + | 0 | +++ |
Lichenoid infiltrate | ++ | + | +++ |
Periappendageal inflammation | + | 0 | +++ |
Lupus band | |||
Lesional | ++ | ++ | +++ |
Non lesional | + | ++ | 0 |
ANA | ++ | +++ | + |
Ro/SS-A antibodies | |||
By immunodiffusion | +++ | + | 0 |
By ELISA | +++ | ++ | + |
Anti double-stranded DNA antibodies | + | +++ | 0 |
Hypocomplementemia | + | +++ | + |
Risk for developing SLE | ++ | +++ | + |
+++, strong association; ++, moderate association; +, weak association; 0, no association. Source: Dermatology in General Medicine by Fitzpatrick (16,17). CLE, cutaneous lupus erythematosus; SCLE, subacute cutaneous lupus erythematosus; ACLE, acute cutaneous lupus erythematosus; DLE, discoid lupus erythematosus; ANA, antinuclear antibody; SLE, systemic lupus erythematosus.