Answer: This patient clearly has disseminated DLE skin lesions with historical data that raises the possibility of systemic disease. Therefore a full laboratory screen is indicated, including the following:
a. A lesional skin biopsy.
b. Direct immunofluorescence of a lesional skin biopsy.
c. Direct immunofluorescence of a non-sun-exposed nonlesional skin biopsy.
e. Multichemistry panel.
f. Urinalysis with microscopic exam.
h. A complete lupus serology screen.
Was this article helpful?