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A member asked:

Can someone obese with only malar rahs and physical urticaria and negative ana have lupus?

A doctor has provided 1 answer

Yes: Discoid lupus most often will not have a positive ana. See a dermatologist. A biopsy of the rash may provide the specific diagnosis.

Dr Sanner agreed

Answered 4/22/2014

4.2k views

Thank

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My lupus flares are Skin manifestation only(malar rash)plus fatigue.But ESR n CRP keeps coming Normal including ANA.on plaquenil (hydroxychloroquine). Was dx not correct?

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Malar rash+fatigue, last CBC show slight up htc, rbc, normalt3, t4, tsh, c3, c4, urea, creatinine, ANA -ve, more epistaxis, I am panic bcuz rash like lupus rash

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