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Part II Health-challenged Skin--Celiac Disease and SLE

By: Morag Currin
Posted: February 28, 2013, from the March 2013 issue of Skin Inc. magazine.

page 6 of 9

The most common treatments for skin lesions exacerbated by lupus are steroid creams or gels. In some cases, liquid steroids will be injected directly into the lesions.

Topical steroids are effective anti-inflammatory preparations and are available in combination with salicylic acid to enhance penetration, and with antibacterial and antifungal agents. Local side effects from topical steroids include: skin thinning (atrophy) and stretch marks (striae); easy bruising and tearing of skin; perioral dermatitis (rash around the mouth); enlarged blood vessels (telangiecstasia); and susceptibility to skin infections. Obviously, the risk of side effects depends on the strength of the steroid creams or gels, the length of application, the site treated and the actual skin condition being treated.

Topical immune-modulators have been developed to treat serious skin conditions without the side effects presented by topical steroid creams and gels. Tacrolimus ointment and pimecrolimus cream have been shown to suppress the activity of the immune system in the skin, including the butterfly rash, subactute cutaneous lupus and possibly even discoid lupus lesions.

Very often a client with severe skin issues will not seek facial treatments. Other clients will try facial treatments and explore what products may help with their skin lesions.

Ingredients and treatments

Skin care products with anti-inflammatory, soothing, protective ingredients are best for clients with SLE. Moisturizers can also be helpful for dry skin, and any lupus-related scars can be covered with a thick concealer.

Understanding Skin Diseases and Disorders Can Increase Your Treatment Offerings in 2013

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