A member asked:

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

4 doctors weighed in across 3 answers

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

Answered 12/20/2012

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Butterfly rash: I would like to add that rosecea is a common type of rash that can also appear to be like the type of rash you refer to.

Answered 8/4/2015

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Not always lupus: A malar or "butterfly" rash is one of the signs of possible lupus, but other rashes can appear similar, including eczema, rosacea, seborrheic dermatitis, allergic contact dermatitis, and others. A complete history, physical exam, and possible skin biopsy and/or blood test can usually distinguish between these rashes.

Answered 5/9/2014

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