Reasonable Hypothesis SOP [2] | 126 of 2015 |
Balance of Probabilities SOP [3] | 127 of 2015 |
SOP Bulletin 186 [4]
Discoid lupus erythematosus is an autoimmune condition, related to systemic lupus erythematosus, but confined to the skin. It is a chronic, often scarring condition, commonly affecting the face and scalp.
The diagnosis can be made on clinical grounds, but skin biopsy is usually necessary for confirmation.
The relevant medical specialist is a dermatologist.
* Another SOP applies
Once the diagnosis has been confirmed, the clinical onset can be dated from the first appearance of the characteristic, persisting skin lesions. Any earlier skin rashes, that have since resolved, will not represent a clinical onset of discoid lupus erythematosus.
The condition tends to persist for years or decades but active disease can resolve in time. Flare ups are possible, e.g. with sun exposure, but this may be a temporary, not a permanent worsening. Permanent worsening beyond the normal course of the disease is required for clinical worsening factors to apply.
Links
[1] https://clik.dva.gov.au/user/login?destination=comment/reply/79694%23comment-form
[2] http://www.rma.gov.au/assets/SOP/2015/dfa1995346/126.pdf
[3] http://www.rma.gov.au/assets/SOP/2015/35b24c97d5/127.pdf
[4] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20186.docx