yd09.jpg (23903 bytes) 09.The young woman has a malar rash (the so-called "butterfly" rash  because of the shape across the cheeks). Such a rash suggests lupus. Discoid lupus erythematosus (DLE) involves mainly just the skin and is, therefore, relatively benign compared to systemic lupus erythematosus (SLE). In either case, sunlight exposure accentuates this erythematous rash. A small number (5 to 10%) of DLE patients go on to develop SLE (usually the DLE patients with a positive ANA).

09.年轻的女孩脸颊有一片皮疹(因其外形横跨双颊,故名“蝴蝶斑”)。此皮疹提示狼疮。圆形红斑狼疮(DLE)主要累及皮肤,相对系统性红斑狼疮(SLE)较良性。在两种病变中,日光照射部位都能加重红色皮疹。一小部分DLE患者(5%-10%)会发展为SLE(DLE患者通常有抗核抗体阳性)。