Both subacute cutaneous lupus and discoid lupus are a form of lupus skin disease, though they have some distinct differences. Subacute cutaneous lupus may show up as ring-shaped red, scaly lesions. Discoid lupus causes round, coin-shaped lesions (sores).

Understanding the Context

The sores most commonly develop on your scalp and face, but they may show up on other parts of your body. Discoid lupus can be broadly classified into localized discoid lupus and generalized discoid lupus based on the location of the lesions. [3] Patients who develop discoid lupus in childhood also have their own sub-type of disease. Discoid lupus causes red scaly patches.

Key Insights

When the lesions eventually resolve, they may leave areas of increased skin pigmentation, destruction (atrophy) of the affected skin, and white scars. Early treatment of discoid lupus lesions may lead to the total clearing of skin lesions, but treatment failure results in permanent scarring. Hair loss, depressed scars, and pigmentary changes are often disfiguring, particularly in darker-skinned people. Discoid lupus is a chronic autoimmune skin condition characterized by discolored, scaly lesions that most often appear on sun-exposed areas. Lupus Foundation of America: How do I know if I have subacute cutaneous lupus or discoid lupus?

Final Thoughts

What is the difference? How do I know if I have subacute cutaneous lupus or discoid lupus? What is the difference?