4.6 Review

An update on the management of refractory cutaneous lupus erythematosus

Journal

FRONTIERS IN MEDICINE
Volume 9, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fmed.2022.941003

Keywords

cutaneous lupus erythematosus (CLE); management; anifrolumab; refractory; belimumab; rituximab; JAK inhibitors; therapy

Ask authors/readers for more resources

Management of cutaneous lupus erythematosus (CLE) involves a combination of preventive measures, topical and systemic drugs, with antimalarials as the first-line systemic treatment. However, many patients do not respond to antimalarials, making refractory lupus a challenge for clinicians. Most available drugs for CLE have been adapted from systemic lupus erythematosus (SLE) treatment, with limited evidence from small studies. Promising new therapies are emerging as understanding of pathogenesis of both CLE and SLE improves.
Management of cutaneous lupus erythematosus (CLE) involves a combination of preventive measures, topical and systemic drugs, fairly similar for the different subtypes. Although guidelines exist, to date, no specific drugs have been specifically licensed for CLE. Antimalarials remain the first-line systemic treatment, but many patients do not respond, making refractory lupus a challenge for clinicians. The choice of alternative medication should be based on effectiveness, safety and cost. Most of the available drugs for CLE have been adapted from systemic lupus erythematosus (SLE) treatment but the existing literature is limited to small studies and evidence often lacks. As knowledge of pathogenesis of both CLE and SLE is improving, promising new therapies are emerging. In this review, we discuss the available medications, focusing on the novelties under development for CLE.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available