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In SCLE, exposure to UVR results in increased expression of the Ro/SSA antigen on the surface of keratinocytes, binding the anti-Ro/SSA antibody and leading to the disease CLE is more severe in smokers, especially DLE Medications - approximately one-third of cases of SCLE are caused by medications Clinical findings Discoid lupus erythematosus - DLE (figures 1-10) Overview DLE is the most common form of lupus and is responsible for 50-85% of cases of cutaneous lupus It occurs 2-3 times more frequently in women than in men, and is slightly more common in African Americans than in whites or Asians Although DLE may occur at any age it most often develops in patients aged 20-40 years Exacerbation is common with increased UV exposure , particularly in the spring and summer Cigarette smoking is more common in patients with cutaneous lupus erythematosus than healthy controls, with a prevalence of 6080%

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Divide the dose 60/40 or 50/50 between morning (fasted) and evening (at least 2 hours after eating)

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