Oral Discoid Lupus Erythematosus
Discoid lupus erythematosus (DLE) is a chronic autoimmune disorder of unknown etiology. DLE can affect the skin and oral mucosa. Classic discoid rashes are frequently found on the sunlight- exposed skin, especially on the face and scalp. Oral lesions are characterized by erythematous plaques, erosions, or ulcers with radiating delicate white striae. The buccal mucosa and lip are most frequently affected. The diagnosis of oral DLE is based on clinical, histopathological and immunopathological examination. Oral lesions can be treated with topical steroids. This article reviews the etiology, clinical presentations, diagnosis and management of oral DLE.
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