Question 1

what is the percentage of developing the malar "butterfly rash" for lupus patients? i was informed that only 30% will suffer from it.

Accepted Answer

It depends: Avoid sunlight and you'll probably avoid the butterfly rash. And sun exposure may not even trigger it. Lupus is diagnosed by checklist -- a certain number of checks, with some groups weighted, gives the diagnosis -- and the diagnosis itself is only a guide to "what should we do" for this still-elusive illness. Best of luck. It's an especially challenging disease.

Question 2

is it normal for sle patient to have eye redness when having malar rash flare up, at the same time ?

Accepted Answer

It can but need more: We need more information.  The red eye  may not be lupus and you need to discuss this  with your  physician or ophthalmologist. It could  be lupus eye involvement but also viral and that is why you need to distinguish this.

Question 3

how can i differentiate symptoms to know if it is fibromyalgia, lupus, or crohns? i have a butterfly rash and positive ana, lots of ibs symptoms, pain

Accepted Answer

Diagnosis?: With your considerations, specialist consultation (Rheumatologist, gastroenterologist, infectious disease) and relevant testing should help elucidate a specific cause, or causes.

Question 4

long history of vague symptoms (sun sens. rashes + malar rash, fatigue, reynaud's, stiffness...) weak+ in labs (ana (#?), dsdna.) now 3 mo. of bilateral pain/mild swelling in hands/wrists/toes. 14-3-3 eta 1.7ng/ml. how likely ra with this lab? thanks?

Accepted Answer

: This could actually be lupus. If your dsDNA is positive, along with the malar rash, joint symptoms and fatigue, lupus becomes more likely. You need to see a rheumatologist for a full evaluation and treatment, once diagnosed. Hopefully, you can get diagnosed soon and get some relief. Best of luck to you!

Question 5

ana 1:640, malar rash in sun, periodic leukopenia,pleuritic chest pain,photosens rashes,mouth sores,raynauds,muscle & joint pain;sed rate,c3,c4 normal?

Accepted Answer

I am unsure what the: Question is, here?
You certainly need to see a Rheumatologist.
Good Luck.

Question 6

what causes this malar rash or "butterfly" rash on my face?

Accepted Answer

SLE : Malar rash is a sign of SLE (systemic  lupus Erythematosis )  there are other other autoimmune diseases which can also have this rash.  there are many rashes which can look similar and be mistaken for a malar rash. The most common is rosacea.  You will need an evaluation by someone with experience.  If you have other symptoms see a rheumatologist.  If the rash is your only symptom see Dermatology.

Question 7

can dermatographia associated with lupus, i have only malar rash and dermatographia, all other things normal?

Accepted Answer

Dermatographia: The exact cause of dermatographia is unknown.  However, it is more associated with allergies rather than lupus.  Symptoms of dermatographia usually go away on their own, and treatment for dermatographia generally isn't necessary. However, if the condition is severe or bothersome, your doctor may recommend antihistamine medications such as diphenhydramine, fexofenadine or cetirizine.

Question 8

early on in the course of lupus could all blood results be negative/normal? still ill and getting blatant malar rash despite neg results

Accepted Answer

Very unlikely: Have the rash biopsied and then you will know. Discoid lupus often has a negative ANA but with systemic lupus a negative ANA is very rare.

Question 9

how to tell if you have a malar rash or rosacea?

Accepted Answer

you can't: You cannot do this by yourself. You need to see a dermatologist.

Question 10

is a malar or "butterfly" rash always indicative of lupus? what else could it be?

Accepted Answer

Butterfly rash: A butterfly rash is not always from lupus. An irration rash can cause this as well as seborrhea.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Malar rash in crohns patient

A member asked:

What is the percentage of developing the malar "butterfly rash" for lupus patients? i was informed that only 30% will suffer from it.

A member asked:

Is it normal for sle patient to have eye redness when having malar rash flare up, at the same time ?

A member asked:

How can i differentiate symptoms to know if it is fibromyalgia, lupus, or crohns? i have a butterfly rash and positive ana, lots of ibs symptoms, pain

A member asked:

Long history of vague symptoms (sun sens. rashes + malar rash, fatigue, reynaud's, stiffness...) weak+ in labs (ana (#?), dsdna.) now 3 mo. of bilateral pain/mild swelling in hands/wrists/toes. 14-3-3 eta 1.7ng/ml. how likely ra with this lab? thanks?

A member asked:

Ana 1:640, malar rash in sun, periodic leukopenia,pleuritic chest pain,photosens rashes,mouth sores,raynauds,muscle & joint pain;sed rate,c3,c4 normal?

A member asked:

What causes this malar rash or "butterfly" rash on my face?

A member asked:

Can dermatographia associated with lupus, i have only malar rash and dermatographia, all other things normal?

A member asked:

Early on in the course of lupus could all blood results be negative/normal? still ill and getting blatant malar rash despite neg results

A member asked:

How to tell if you have a malar rash or rosacea?

A member asked:

Is a malar or "butterfly" rash always indicative of lupus? what else could it be?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?