All blood tests for lupus neg. 4 times- just have clinical symptoms for a year, including malar rash-could still be lupus?lyme test was + 1 year ago..

Varies: The diagnosis varies. You could have rosacea, dermatomyositis, and some other things. Who is working you up? I would suggest you go and see a dermatologist, they are familiar with malar rash and the differential it caries.

Unlikely: Negative autoantibodies make lupus unlikely but not impossible.You can always get a 2nd opinion. If the rash is present elsewhere besides the face have a dermatologist biopsy it and send it for evaluation including a lupus band test.