Type DLE SCLE SLE DILE CCLE Bullous lupus Sun-exposed skin in healthy areas
DIF -Strong, shaggy BMZ staining for IgM, C3, IgG and fibrinogen; also present in sebaceous and sweat glands and some dermal blood vessels. -Elastic globes (DNA complexed with IgG). -Some fibrinoid clumps in the dermis. -Positive cytoid bodies. -Particulate epidermal IgG deposition (all anti-Ro/SSA positive).   -Positive ANA titers, as well as anti-dsDNA antibodies. Anti-Sm, anti-RNP, ENA, and anti- chromatin antibodies. -Positive BMZ linear, shaggy and/or granular deposits with IgG, IgM, and C3, and less with fibrinogen. -Strong reactivity to dermal vessels with most antibodies. -Positive cytoid bodies. -Positive antinuclear antibodies (ANAs), antihistone antibodies and anti-Ro/SSA antibodies. -Strong, shaggy BMZ staining with IgG, C3, and fibrinogen. -Strong, shaggy BMZ staining with IgM and C3. -Strong deposits of fibrinogen in dermal vessels. -BMZ linear deposits with IgG and C3, and less with fibrinogen. -Anti-C3d in a fibrillar, interrupted linear, or granular pattern. Weak, noncontinuous deposits of IgM, C1q and IgG.
SLE: Systemic Lupus Erythematosus; SCLE: Subacute Cutaneous Lupus Erythematosus; DLE: Discoid Lupus Erythematosus; DILE: Drug-Induced Lupus Erythematodes; CCLE: Chronic Cutaneous Lupus Erythematosus
Table 1: Comparison of the immunofluorescence findings between multiple variants of lupus erythematosus, and sun exposed normal skin.