Cutaneous lupus erythematosus: A review of the literature☆
Identifieur interne : 000E12 ( Ncbi/Merge ); précédent : 000E11; suivant : 000E13Cutaneous lupus erythematosus: A review of the literature☆
Auteurs : Stephanie Clare Blake [Australie] ; Benjamin Silas Daniel [Australie]Source :
- International Journal of Women's Dermatology [ 2352-6475 ] ; 2019.
Abstract
Knowledge with regard to the pathogenesis of lupus erythematosus has progressed rapidly over the past decade, and with it has come promising new agents for the treatment of cutaneous lupus erythematous (CLE). Classification of CLE is performed using clinical features and histopathologic findings, and is crucial for determining prognosis and choosing therapeutic options. Preventative therapy is critical in achieving optimal disease control, and patients should be counseled on sun-safe behavior and smoking cessation. First-line therapy includes topical corticosteroids and calcineurin inhibitors, with antimalarial therapy. Traditionally, refractory disease was treated with oral retinoids, dapsone, and other oral immunosuppressive drugs, but new therapies are emerging with improved side effect profiles and efficacy. Biologic agents, such as belimumab and ustekinumab, have been promising in case studies but will require larger trials to establish their role in routine therapy. Other novel therapies that have been trialed successfully include spleen tyrosine kinase inhibitors and fumaric acid esters. Finally, new evidence has been published recently that describes safer dosing regimens in thalidomide and lenalidomide, both effective medications for CLE. Given the chronic disease course of CLE, long-term treatment-related side effects must be minimized, and the introduction of new steroid-sparing agents is encouraging in this regard.
Url:
DOI: 10.1016/j.ijwd.2019.07.004
PubMed: 31909151
PubMed Central: 6938925
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PMC:6938925Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Knowledge with regard to the pathogenesis of lupus erythematosus has progressed rapidly over the past decade, and with it has come promising new agents for the treatment of cutaneous lupus erythematous (CLE). Classification of CLE is performed using clinical features and histopathologic findings, and is crucial for determining prognosis and choosing therapeutic options. Preventative therapy is critical in achieving optimal disease control, and patients should be counseled on sun-safe behavior and smoking cessation. First-line therapy includes topical corticosteroids and calcineurin inhibitors, with antimalarial therapy. Traditionally, refractory disease was treated with oral retinoids, dapsone, and other oral immunosuppressive drugs, but new therapies are emerging with improved side effect profiles and efficacy. Biologic agents, such as belimumab and ustekinumab, have been promising in case studies but will require larger trials to establish their role in routine therapy. Other novel therapies that have been trialed successfully include spleen tyrosine kinase inhibitors and fumaric acid esters. Finally, new evidence has been published recently that describes safer dosing regimens in thalidomide and lenalidomide, both effective medications for CLE. Given the chronic disease course of CLE, long-term treatment-related side effects must be minimized, and the introduction of new steroid-sparing agents is encouraging in this regard.</p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Womens Dermatol</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Womens Dermatol</journal-id>
<journal-title-group><journal-title>International Journal of Women's Dermatology</journal-title>
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<issn pub-type="epub">2352-6475</issn>
<publisher><publisher-name>Elsevier</publisher-name>
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<article-meta><article-id pub-id-type="pmid">31909151</article-id>
<article-id pub-id-type="pmc">6938925</article-id>
<article-id pub-id-type="publisher-id">S2352-6475(19)30088-7</article-id>
<article-id pub-id-type="doi">10.1016/j.ijwd.2019.07.004</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Cutaneous lupus erythematosus: A review of the literature<sup><xref ref-type="fn" rid="d31e374">☆</xref>
</sup>
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<contrib-group><contrib contrib-type="author" id="au0005"><name><surname>Blake</surname>
<given-names>Stephanie Clare</given-names>
</name>
<degrees>MD</degrees>
<email>stephaniecblake@gmail.com</email>
<xref rid="af0005" ref-type="aff">a</xref>
<xref rid="af0010" ref-type="aff">b</xref>
<xref rid="cor1" ref-type="corresp">⁎</xref>
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<contrib contrib-type="author" id="au0010"><name><surname>Daniel</surname>
<given-names>Benjamin Silas</given-names>
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<degrees>MBBS, FACD</degrees>
<xref rid="af0005" ref-type="aff">a</xref>
<xref rid="af0010" ref-type="aff">b</xref>
<xref rid="af0015" ref-type="aff">c</xref>
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</contrib-group>
<aff id="af0005"><label>a</label>
University of New South Wales, Sydney, Australia</aff>
<aff id="af0010"><label>b</label>
St. George Department of Dermatology, Sydney, Australia</aff>
<aff id="af0015"><label>c</label>
St Vincent’s Hospital, Melbourne, Australia</aff>
<author-notes><corresp id="cor1"><label>⁎</label>
Corresponding author. <email>stephaniecblake@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>31</day>
<month>7</month>
<year>2019</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="collection"><month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub"><day>31</day>
<month>7</month>
<year>2019</year>
</pub-date>
<volume>5</volume>
<issue>5</issue>
<fpage>320</fpage>
<lpage>329</lpage>
<history><date date-type="received"><day>13</day>
<month>2</month>
<year>2019</year>
</date>
<date date-type="rev-recd"><day>4</day>
<month>7</month>
<year>2019</year>
</date>
<date date-type="accepted"><day>20</day>
<month>7</month>
<year>2019</year>
</date>
</history>
<permissions><copyright-statement>© 2019 Published by Elsevier Inc. on behalf of Women's Dermatologic Society.</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder></copyright-holder>
<license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).</license-p>
</license>
</permissions>
<abstract id="ab915"><p>Knowledge with regard to the pathogenesis of lupus erythematosus has progressed rapidly over the past decade, and with it has come promising new agents for the treatment of cutaneous lupus erythematous (CLE). Classification of CLE is performed using clinical features and histopathologic findings, and is crucial for determining prognosis and choosing therapeutic options. Preventative therapy is critical in achieving optimal disease control, and patients should be counseled on sun-safe behavior and smoking cessation. First-line therapy includes topical corticosteroids and calcineurin inhibitors, with antimalarial therapy. Traditionally, refractory disease was treated with oral retinoids, dapsone, and other oral immunosuppressive drugs, but new therapies are emerging with improved side effect profiles and efficacy. Biologic agents, such as belimumab and ustekinumab, have been promising in case studies but will require larger trials to establish their role in routine therapy. Other novel therapies that have been trialed successfully include spleen tyrosine kinase inhibitors and fumaric acid esters. Finally, new evidence has been published recently that describes safer dosing regimens in thalidomide and lenalidomide, both effective medications for CLE. Given the chronic disease course of CLE, long-term treatment-related side effects must be minimized, and the introduction of new steroid-sparing agents is encouraging in this regard.</p>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Australie</li>
</country>
<region><li>Nouvelle-Galles du Sud</li>
<li>Victoria (État)</li>
</region>
<settlement><li>Melbourne</li>
<li>Sydney</li>
</settlement>
</list>
<tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Blake, Stephanie Clare" sort="Blake, Stephanie Clare" uniqKey="Blake S" first="Stephanie Clare" last="Blake">Stephanie Clare Blake</name>
</region>
<name sortKey="Blake, Stephanie Clare" sort="Blake, Stephanie Clare" uniqKey="Blake S" first="Stephanie Clare" last="Blake">Stephanie Clare Blake</name>
<name sortKey="Daniel, Benjamin Silas" sort="Daniel, Benjamin Silas" uniqKey="Daniel B" first="Benjamin Silas" last="Daniel">Benjamin Silas Daniel</name>
<name sortKey="Daniel, Benjamin Silas" sort="Daniel, Benjamin Silas" uniqKey="Daniel B" first="Benjamin Silas" last="Daniel">Benjamin Silas Daniel</name>
<name sortKey="Daniel, Benjamin Silas" sort="Daniel, Benjamin Silas" uniqKey="Daniel B" first="Benjamin Silas" last="Daniel">Benjamin Silas Daniel</name>
</country>
</tree>
</affiliations>
</record>
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