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Acute cutaneous lupus erythematosus (ACLE) - almost all
of these patients have active systemic lupus with skin involvement.
The butterfly (malar) rash is seen in 40%-60% of lupus patients.
 Malar
rash
ACLE is usually found on the cheeks and bridge of the nose, but
can also quite often be found anywhere on the face and in the 'V'
area of the neck.
People with ACLE usually have systemic complaints. ACLE appears
to correlate with disease activity in individuals that have the
malar rash. Treatment of ACLE is treatment of the underlying systemic
disease. Topical medications don't appear to help much.
The ACLE rash can last anything from a few days to months. After
sun exposure, the rash may appear or intesify quite suddenly. Although
not usually scarring, occasionally ACLE lesions will leave areas
of hyper- or hypo-pigmentation.
ACLE rashes can occur along with SCLE rashes, but seldom with
DLE lesions.
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