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Lupus and Dry Skin

posted in Skin Problems in Lupus on December 13, 2023 by

Gavin Abson

Updated December 29, 2023

Lupus, a complex autoimmune disease, commonly affects the skin, including causing dry, itchy skin. Fortunately, a lot can be done to improve the itchiness and dryness. 

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Donald Thomas, MD author of The Lupus Encyclopedia for Gastrointestinal symptoms in lupus blog post

This blog on “Lupus and Dry Skin” was edited and contributed to by Donald Thomas, MD; author of “The Lupus Encyclopedia.” Parts of this blog post come from “The Lupus Encyclopedia: A Comprehensive Guide for Patients and Health Care Providers, edition 2

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In this article, we’ll explore the connection between lupus and dry skin, examining the causes, symptoms, and effective strategies for managing this particular dermatological manifestation.

Causes of Dry Skin in Lupus

While lupus primarily targets the immune system, its effects on the skin can lead to dryness. The disease’s inflammatory nature can disrupt the normal functions of the skin, causing dehydration and flakiness. This is commonly due to their having an additional autoimmune disease called Sjögren’s disease. Additionally, medications commonly used by lupus patients may contribute to skin dryness as a side effect.

Symptoms of Dry Skin in Lupus

Recognizing the symptoms of dry skin is crucial for effective management. These may include persistent itching, rough or scaly patches, and an overall feeling of skin tightness. Itchy skin due to dry skin can be very distressing, but there are many things patients can do to help dry, itchy skin. In some cases, dry skin can exacerbate existing lupus-related rashes, leading to increased discomfort.

Strategies for Managing Dry Skin

Hydration from Within

Encouraging adequate hydration from within is fundamental. Lupus patients should maintain a sufficient water intake to support overall skin health. Consuming foods rich in water content, such as fruits and vegetables, can also contribute to hydration.

Gentle Skincare Routine

Adopting a gentle skincare routine is paramount. For example, avoiding hot water while bathing and showering is essential in preventing the removal of natural moisturizing oils from the skin. Using mild, fragrance-free cleansers and moisturizers helps avoid potential irritants that can worsen dry skin. Moisturizing regularly, especially after bathing, can lock in essential moisture.

For lots of practical tips in caring for dry, itchy skin, see our blog post entitled “Top Dermatologist Tips in Caring for Itchy, Dry Skin in Lupus and Sjögren’s.”

Ultraviolet Light Protection

Ultraviolet (UV) light exposure (especially to the sun) can exacerbate lupus symptoms. Applying broad-spectrum sunscreen with a high SPF is crucial when venturing outdoors. Wearing protective clothing, including hats and long sleeves, further shields the skin from harmful UV rays.

See the complete list of recommendations on UV light protection at the link at the bottom of our “Lupus Secrets” page. 

Consultation with a Dermatologist

Consulting with a dermatologist is advisable for individuals with lupus experiencing persistent or severe dry skin. A dermatologist can assess the specific needs of lupus-affected skin and recommend tailored skincare solutions.

Lifestyle Considerations

Beyond skincare, certain lifestyle adjustments can positively impact skin health for lupus patients. Managing stress, getting sufficient rest, and avoiding excessive alcohol consumption and smoking contribute to overall well-being, potentially benefiting the skin.

Dry skin is a common concern for individuals with lupus, and understanding its causes and effective management strategies is essential. Individuals with lupus can alleviate the discomfort associated with dry skin by adopting a proactive approach to skincare, staying hydrated, and seeking professional guidance when needed. As with many aspects of lupus, a personalized and holistic approach to skincare enhances the quality of life for those navigating the complexities of this autoimmune condition.

For more in-depth information on lupus and dry skin:

Read chapters 8 and 14 of The Lupus Encyclopedia, edition 2

Look up your symptoms, conditions, and medications in the Index of The Lupus Encyclopedia

If you enjoy the information from The Lupus Encyclopedia, please click the “SUPPORT” button at the top of the page to learn how you can help. 


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If you have dry itchy skin, what has your experience been? What do you recommend for other patients?

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