What is the Difference Between Discoid Lupus and Systemic Lupus?

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Discoid lupus erythematosus (DLE) and systemic lupus erythematosus (SLE) are both autoimmune diseases, but they differ in the extent of their effects on the body and the specific symptoms they cause. The main differences between discoid lupus and systemic lupus are:

  1. Affected areas: DLE primarily affects the skin, causing discoid-shaped, red patches with scaling and scarring. In contrast, SLE is a systemic autoimmune condition that affects many organ systems in the body, including the kidneys, joints, skin, cardiovascular system, and nervous system.
  2. Progression: While both DLE and SLE are autoimmune diseases, they are considered distinct entities. About 5% or more of the people with DLE may develop SLE later in life.
  3. Quality of life: Patients with DLE have been found to have a worse quality of life than patients with SLE, possibly due to the difference in the spectrum of injuries.
  4. Diagnosis: A skin biopsy is usually obtained to diagnose skin lupus, and each form possesses its own characteristic lesions and pattern. In contrast, the diagnosis of SLE involves a combination of clinical symptoms, laboratory tests, and imaging studies to assess the affected organ systems.
  5. Treatment: Treatment options for DLE focus on early diagnosis, treatment, and prevention of skin lesions, while SLE treatment depends on the affected organ systems and the severity of the condition.

In summary, discoid lupus primarily affects the skin, while systemic lupus affects multiple organ systems in the body. Although both conditions are autoimmune diseases, they differ in their manifestations, progression, and treatment approaches.

Comparative Table: Discoid Lupus vs Systemic Lupus

Discoid Lupus Erythematosus (DLE) and Systemic Lupus Erythematosus (SLE) are two different forms of lupus, a chronic autoimmune disease. Here is a table highlighting the differences between the two:

Feature Discoid Lupus Erythematosus (DLE) Systemic Lupus Erythematosus (SLE)
Affected Areas Primarily skin, characterized by persistent scaly plaques on the scalp, face, and ears Affects many organs, including skin, joints, kidneys, and heart
Scarring Causes scarring, leading to facial disfigurement and permanent hair loss in affected areas Can cause scarring in some cases
Diagnosis Diagnosed based on the distribution and clinical appearance of the skin lesions Diagnosed based on a combination of clinical symptoms, laboratory tests, and biopsy
Genetics Genetic factors play a role in the development of DLE, but the specific susceptibility loci are not fully recognized Genetic factors play a significant role in the development of SLE, with multiple susceptibility loci identified
Progression Approximately 5% of patients with localized and 15% with generalized DLE develop SLE Can progress to more severe forms of the disease, affecting various organs
Treatment Treatment options include topical and systemic medications, such as corticosteroids and immunosuppressants Treatment options vary depending on the severity of the disease, including medications, lifestyle changes, and in some cases, surgery

DLE primarily affects the skin, causing chronic scarring and persistent scaly plaques on the scalp, face, and ears. On the other hand, SLE is a more systemic form of the disease, affecting various organs and causing a wide range of clinical symptoms. While DLE is not as severe as SLE, it still requires appropriate treatment and management to prevent complications and disfigurement.