Cosmetic treatment in patients with autoimmune connective tissue diseases : Best practices for patients with lupus erythematosus - 23/07/20
Abstract |
The cutaneous manifestations of lupus, especially chronic cutaneous lupus erythematosus, are a source of significant morbidity and can negatively impact patient quality of life. While the active inflammatory component of the disease may be adequately treated, patients are frequently left with residual skin damage and disfiguring aesthetic deficits. Dermatologists lack guidelines regarding the use and safety of various reconstructive and cosmetic interventions in this patient population. Laser treatments are largely avoided in the lupus population because of the possible photodamaging effects of ultraviolet and visible light. Similarly, given the autoimmune nature of this disease, some physicians avoid injectable treatment and grafts because of the concern for disease reactivation via antigenic stimulation. In the second article in this continuing medical education series we compile available data on this topic with the goal of providing evidence-based guidance on the cosmetic treatment of patients with lupus erythematosus with a focus on chronic cutaneous lupus erythematosus.
Le texte complet de cet article est disponible en PDF.Key words : calcium hydroxylapatite, fat transfer, hyaluronic acid, injectables, intense pulsed light, laser treatment, lipoinjection, lupus, mental health, poly-L-lactic acid, polymethylmethacrylate, pulsed dye laser, quality of life
Abbreviations used : ACLE, CCLE, DLE, HA, IPL, Nd:YAG, QoL, PDL, SCLE, SLE
Plan
Funding sources: None. |
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Conflicts of interest: None disclosed. |
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Date of release: August 2020. |
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Expiration date: August 2023. |
Vol 83 - N° 2
P. 343-363 - août 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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