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A 30-year-old female asked:

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

3 doctor answers4 doctors weighed in
Dr. Clarence Wimberly
Specializes in Family Medicine
Butterfly rash: A butterfly rash is not always from lupus. An irration rash can cause this as well as seborrhea.
Dr. Clarence Wimberly
Specializes in Family Medicine
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.
Dr. Timothy Rodgers
Dermatology 20 years experience
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.
Last updated Aug 4, 2015

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