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" Successful long-term thalidomide therapy for discoid lupus erythematosus-lichen planus overlap syndrome "


Document Type : AL
Record Number : 925062
Doc. No : LA73r7492v
Language of Document : English
Main Entry : Zhang, Lisa; Au, Sonoa; Aronson, Iris K
Title & Author : Successful long-term thalidomide therapy for discoid lupus erythematosus-lichen planus overlap syndrome [Article]\ Zhang, Lisa; Au, Sonoa; Aronson, Iris K
Title of Periodical : Dermatology Online Journal
Volume/ Issue Number : 20/10
Date : 2014
Abstract : Although thalidomide is a U.S. Food and Drug Admistration (FDA) approved medication for erythema nodosum leprosum and multiple myeloma, it has many off-label uses, including for discoid lupus erythematosus (DLE), Behçet’s disease, apththous ulcers in HIV patients, and prurigo nodularis. Herein, we present a patient with an overlap of discoid lupus erythematosus and lichen planus who was successfully treated with thalidomide for over 19 years without significant side effects. We propose that some of the most common side effects, including peripheral neuropathy, numbness, parasthesias, sedation, and constipation, can be avoided at lower doses, typically less than 100mg/day.
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