Lifestyle changes should be discussed with patients.[12]O'Kane D, McCourt C, Meggitt S, et al; British Association of Dermatologists’ Clinical Standards Unit. British Association of Dermatologists guidelines for the management of people with cutaneous lupus erythematosus 2021. Br J Dermatol. 2021 Dec;185(6):1112-23.
https://onlinelibrary.wiley.com/doi/10.1111/bjd.20597
http://www.ncbi.nlm.nih.gov/pubmed/34170012?tool=bestpractice.com
[15]Lu Q, Long H, Chow S, et al. Guideline for the diagnosis, treatment and long-term management of cutaneous lupus erythematosus. J Autoimmun. 2021 Sep;123:102707.
http://www.ncbi.nlm.nih.gov/pubmed/34364171?tool=bestpractice.com
Patients should be advised to limit their exposure to the sun, cover up exposed areas of skin, and apply a broad-spectrum (both ultraviolet A and ultraviolet B), high-SPF sunscreen every 2 hours.[12]O'Kane D, McCourt C, Meggitt S, et al; British Association of Dermatologists’ Clinical Standards Unit. British Association of Dermatologists guidelines for the management of people with cutaneous lupus erythematosus 2021. Br J Dermatol. 2021 Dec;185(6):1112-23.
https://onlinelibrary.wiley.com/doi/10.1111/bjd.20597
http://www.ncbi.nlm.nih.gov/pubmed/34170012?tool=bestpractice.com
[15]Lu Q, Long H, Chow S, et al. Guideline for the diagnosis, treatment and long-term management of cutaneous lupus erythematosus. J Autoimmun. 2021 Sep;123:102707.
http://www.ncbi.nlm.nih.gov/pubmed/34364171?tool=bestpractice.com
[16]Kuhn A, Aberer E, Bata-Csörgő Z, et al. S2k guideline for treatment of cutaneous lupus erythematosus - guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV). J Eur Acad Dermatol Venereol. 2017 Mar;31(3):389-404.
https://onlinelibrary.wiley.com/doi/10.1111/jdv.14053
http://www.ncbi.nlm.nih.gov/pubmed/27859683?tool=bestpractice.com
All patients who use long-term sun protection should consider vitamin D supplementation.[12]O'Kane D, McCourt C, Meggitt S, et al; British Association of Dermatologists’ Clinical Standards Unit. British Association of Dermatologists guidelines for the management of people with cutaneous lupus erythematosus 2021. Br J Dermatol. 2021 Dec;185(6):1112-23.
https://onlinelibrary.wiley.com/doi/10.1111/bjd.20597
http://www.ncbi.nlm.nih.gov/pubmed/34170012?tool=bestpractice.com
[15]Lu Q, Long H, Chow S, et al. Guideline for the diagnosis, treatment and long-term management of cutaneous lupus erythematosus. J Autoimmun. 2021 Sep;123:102707.
http://www.ncbi.nlm.nih.gov/pubmed/34364171?tool=bestpractice.com
[16]Kuhn A, Aberer E, Bata-Csörgő Z, et al. S2k guideline for treatment of cutaneous lupus erythematosus - guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV). J Eur Acad Dermatol Venereol. 2017 Mar;31(3):389-404.
https://onlinelibrary.wiley.com/doi/10.1111/jdv.14053
http://www.ncbi.nlm.nih.gov/pubmed/27859683?tool=bestpractice.com
Smoking cessation should be highly recommended, as smoking is associated with more severe disease and decreases the efficacy of antimalarials.[7]Gallego H, Crutchfield CE 3rd, Lewis EJ, et al. Report of an association between discoid lupus erythematosus and smoking. Cutis. 1999 Apr;63(4):231-4.
http://www.ncbi.nlm.nih.gov/pubmed/10228753?tool=bestpractice.com
[12]O'Kane D, McCourt C, Meggitt S, et al; British Association of Dermatologists’ Clinical Standards Unit. British Association of Dermatologists guidelines for the management of people with cutaneous lupus erythematosus 2021. Br J Dermatol. 2021 Dec;185(6):1112-23.
https://onlinelibrary.wiley.com/doi/10.1111/bjd.20597
http://www.ncbi.nlm.nih.gov/pubmed/34170012?tool=bestpractice.com
[15]Lu Q, Long H, Chow S, et al. Guideline for the diagnosis, treatment and long-term management of cutaneous lupus erythematosus. J Autoimmun. 2021 Sep;123:102707.
http://www.ncbi.nlm.nih.gov/pubmed/34364171?tool=bestpractice.com
[17]Rahman P, Gladman DD, Urowitz MB. Smoking interferes with efficacy of antimalarial therapy in cutaneous lupus. J Rheumatol. 1998 Sep;25(9):1716-9.
http://www.ncbi.nlm.nih.gov/pubmed/9733451?tool=bestpractice.com
Patients may want to consider cosmetic camouflage to improve the appearance of lesions.