Department of Dermatology, University of Utah, 30 North 1900 East, Salt Lake City, UT 84132, USA.
Dermatol Ther. 2012 Mar-Apr;25(2):99-111. doi: 10.1111/j.1529-8019.2012.01508.x.
Cutaneous lupus erythematosus is a heterogeneous autoimmune condition that can significantly impact quality of life. Treatment is focused on reducing clinical inflammation and preventing scarring. The choice of treatment should be guided based on the severity of disease. Mild or localized disease can be treated with sun protection and topical agents. Antimalarials are the initial treatment of choice if systemic therapy is required. Patients with severe or unresponsive disease can also be treated with a number of other immunomodulating or immunosuppressive agents. Clinicians should be aware of their potential adverse effects and appropriate dosing.
红斑狼疮是一种异质性的自身免疫性疾病,可显著影响生活质量。治疗的重点是减轻临床炎症和预防瘢痕形成。治疗的选择应根据疾病的严重程度来指导。轻度或局限性疾病可通过防晒和局部药物治疗。如果需要全身治疗,则抗疟药是首选治疗药物。对于严重或无反应的疾病患者,也可以使用其他一些免疫调节或免疫抑制药物进行治疗。临床医生应注意其潜在的不良反应和适当的剂量。