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Start free with EleplanDrug-induced lupus erythematosus
ORPHA:231111Disease
Also called DILE
What it is
A rare, systemic disease with skin involvement characterized by the onset of idiopathic lupus erythematosus-like signs and symptoms resulting from continuous drug intake (>1 month), which resolve when treatment is discontinued, in persons with no history of autoimmune disease. Manifestations are variable and may be systemic (e.g. arthralgia, myalgia, fever, fatigue, serositis, pleuritis, pericarditis), subacute cutaneous (incl. photosensitive, non-scarring, annular, polycyclic or papulosquamous lesions, malar erythema, vasculitis, bullous lesions, erythema multiforme-like changes), and/or chronic cutaneous (typically discoid lesions in sun-exposed areas). Procainamide and hydralazine are the drugs most frequently implicated.
Key facts
- Age of onset
- All ages
- Inheritance
- Not applicable
- Classified as
- Disease
Signs and symptoms
Very common80–99%
20- Anemia
- Antinuclear antibody positivity
- Arthralgia
- Autoimmune antibody positivity
- Decreased circulating complement C3 concentration
- Decreased circulating complement C4 concentration
- Dyspnea
- Elevated circulating C-reactive protein concentration
- Elevated circulating creatine kinase concentration
- Elevated erythrocyte sedimentation rate
- Hematuria
- Increased blood urea nitrogen
- Lupus anticoagulant
- Malar rash
- Myalgia
- Pericardial effusion
- Pericarditis
- Petechiae
- Prolonged QTc interval
- Thrombocytopenia
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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