What topical steroid therapies are recommended for the skin lesions occurring in SLE patients?
• Facial lesions: low to medium potency nonfluorinated (hydrocortisone, desonide)
• Trunk/arm lesions: medium potency fluorinated (betamethasone valerate, triamcinolone acetonide)
• Hypertrophic lesions: high potency fluorinated (betamethasone diproprionate, clobetasol). Only use 2 weeks.
• Topical tacrolimus: 0.1% cream twice a day for 3 weeks as an alternative to topical steroids.