What Causes An Acute Discoid Rash On The Arm While Suffering From Lupus?
Discoid lupus
Detailed Answer:
good evening
thank you for writing on HealthcareMagic,
Well firstly I would say if the drug is harming you too much you should stop it. we never continue drugs if they arengiving side effects.. Clobestol is not going to be very useful in discoid lupus as it is...Since it is an internal problem we will need drugs to suppress it internally
I would like to ask you a few more questions for the disease
1. do you have any oral ulcers
2. do you experience any joint pains
3. The location of rashes?
4. How about ANA and ENA profile..
5. Any other systemic therapy like hydroxychloroquine or steroids have been tried
Do let me know these queries..will guide you further from here
regards
Dr naval
Discoid lupus
Detailed Answer:
good evening
Sorry for the late reply.. Had a long day at work
Well, firstly I would suggest we add Hydroxychloroquine to your regime as well( Plaquenil) as it is very useful for skin lesions due to lupus...Even if ANA negative, it is known to work well....
As of the pics I saw, the rash doesnt seem too bad or it wasnt really clear, but we can temporarily increase the dose of prednisone if the new lesions are coming up. I am not sure about the dose you are taking...But it will definately help as steroids act the quickest...
For topical application, you can discuss with your rheumatologist and prefer switching to tacrolimus ointment.. It is better than Clobestol and may not even burn
Hope the information was useful...I feel a little bit treatment modification is needed, cause if the rashes are flaring on tapering the steroids we need to add another steroid sparing drug with lesser side effects
Do let me know for more queries
REgards
Dr Naval