A member asked:

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..

2 doctors weighed in across 2 answers
Dr. Azen Jukic answered

Specializes in Pathology

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.

Answered 4/23/2013

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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.

Answered 12/10/2013

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