Lupus symptoms neg bloodwork, biopsy of facial rash showed sebhorreic dermatitis but get malar flushing. deflated and seeking answers?

Maybe rosacea: Malar flushing is most commonly caused by a condition called rosacea. Many times there is a positive family history of similar symptoms. Wine, spicy foods will frequently provoke the flushing. The condition can be mild or severe depending on the degree of flushing and how often it happens. The biopsy seems to have ruled out lupus, but an immunofluresence bx is more specific. Mirvaso may help.