Chronic cutaneous lupus, or discoid lupus, is the type of lupus in which you may find lupus scalp sores. Discoid lupus is characterized by disk-shaped, round lesions which usually form on the face or scalp, but may also occur on other parts of the body as well. According to Lupus.org, about 10% of people with discoid lupus will develop systemic lupus. In this case, however, it is most likely that the person already had the systemic form of the disease, the lupus scalp sores or other lesions were just the first symptom that appeared.

Lupus scalp sores and other lesions are described as red, scaly, and thick. They usually don’t hurt or itch, but can cause scarring and discoloration in the skin. A lupus scalp sore can cause hair to fall out. This can be permanent if the lesions form scars. Disk-shaped scars can also appear because of cancer as well. In either case, it is best to contact your doctor if you notice the appearance of these types of lesions.

Lupus scalp sores could also be a symptom of subacute cutaneous lupus, which is similar, but these lesions do not itch or scar and usually appear on sun-exposed portions of the body. Another type of cutaneous lupus, acute cutaneous lupus, could also cause a rash to form on the scalp or other parts of the body. However, in most cases this type forms a rash on the face, across the bridge of the nose and the cheeks in a butterfly formation.

 

Treatment of Lupus Scalp Sores

 

The goals of managing cutaneous lupus are to improve the appearance of the patient and to prevent the development of new lesions, according to MedScape.com. The medication that is used in treatment will depend on the type of cutaneous lupus that you have. Steroid creams or gels may be used, or liquid steroids may be injected into the lesions directly. There is also a new class of drugs available which have been shown to suppress the activity of the immune system. They are called immune-modulators and they can treat the skin without the serious side effects that generally come about from using corticosteroids. Protopic and Elidel are examples of immune-modulators.

In order to prevent the formation of more skin manifestations from lupus, Lupus.org recommends avoiding and protecting oneself from sunlight and artificial ultraviolet light. Seeking shade on sunny days and using sunscreens, both physical and chemical, may also be helpful. If your lupus scalp sores are found to be caused by a systemic lupus, other medications may be administered, depending on the severity of the condition.