Doctor insights on:
A Butterfly Rash On The Chest Area
Tightness in chest and throat. Rash everywhere like a butterfly rash but on chest too. Tested for lupus and allergies • negative. Shortness of breath?
See a dermatologist: Stop fooling around and consult a pro. ...Read more
Lupus: how can one get an easy DX? 1x butterfly rash(I think), 1x breakout of blister-like pimples on stomach, fatige,chest pain.Also,Any other ideas?
Dx lupus: Systemic lupus erythematosis is a very hard disease to diagnose. It can mimic many diseases. A butterfly rash on the face with atrophic changes in the skin is one. Other signs and symptoms include fatigue, photosensitivity, fever, weight loss, kidney disease, lung disease, heart disease, liver disease, nerve and brain disease. There are blood tests which can help. Several things must be +. ...Read more
I have butterfly rash,cough,very painful joint pain,slight pain in back near ribs,have SLE should i be worried, cannot contact rheumatologist?
SLE: Dear Gabrielle, a cough and painful chest (you mention ribs), makes me concerned. Pleurisy (inflammation of the lining of the lung) can be a feature of active SLE. It also appears you have active skin manifestation, and arthritis. My suggestion is to get a chest xray and blood work through the nearest ER. They can then advise you further based on results. Best wishes, Nisha ...Read more
Can you have a malar rash on your chest and back? I do not have it on my face. I have several other features of lupus.
Malar on the face: The malar rash is specific for the face, other rashes are also associated with lupus. Depending on your symptoms, best is to consult a rheumatologist for proper diagnosis. A skin biopsy, if in doubt, can also elucidate some of these rashes. ...Read more
My ANA IFA came positive with Homogeneous pattern and 1:80H, no butterfly rash but I had some itching & rashes on neck, now gone after 6 day medication?
See test explanation: It takes 4 of 11 criteria to diagnose Lupus. Positive ANA is your only one and not diagnostic because skin rash should be malar or discoid. Triamcinolone will treat many non-lupus rashes. For now don`t get worried. But get the pamphlet on Lupus from the Arthritis Foundation and keep it on hand if anything else develops. Repeating the test won`t add much information. ...Read more
My 16 yo daughter has had flares of swelling of hands , feet lips and rashes for the past 5 years . Ana 1 in 164, no butterfly rash. ?
Mystery disease: I presume you are already taking your daughter to a rheumatologist. Ask him to consider the possibility of spondylarthropathy and ask him test for hla-b27. ...Read more
Is it possible to have a 'white' oder inverted lupus butterfly rash?
I have such a a 'white' rash over cheeks and nose bridge framed by brownish area
Not Lupus :
Sounds like so other dermatologic condition
see a dermatologist for dx. ...Read more
Eczema itches: And is rarely confined to the face. Eczema typically also involves the eyelids, neck, elbow and knee creases, and the wrists and ankles. ...Read more
Can you have a butterfly rash without being in a flare- I have the rash right now but feel fine, i hope this doesn't mean my organs are doing poorly?
Yes: It is possible that the rash is the only clinical evidence of lupus activity. ...Read more
Yes: There are several different signs and symptoms of lupus---check out the lupus foundation's website. ...Read more
SLE : Malar rash is a sign of SLE (systemic lupus Erythematosis ) there are other other autoimmune diseases which can also have this rash. there are many rashes which can look similar and be mistaken for a malar rash. The most common is rosacea. You will need an evaluation by someone with experience. If you have other symptoms see a rheumatologist. If the rash is your only symptom see Dermatology. ...Read more
Lupus: The butterfly rash is a skin rash that mostly affects african and american people. It is mainly associated with the autoimmune disorder, lupus. An autoimmune disease is condition where the body’s own defense system starts attacking body tissues that are healthy. In simple terms, “the body mistakes the healthy body tissues as invaders and starts attacking; causing pain, sun sensitivity, inflammation. ...Read more
Depends: The rash that is seen is part of the immune response to the skin and it is a reflection of the activity of the disease. Sometimes the exposure to light can make it worse. In general, controlling the disease will make it more likely that the rash goes away. ...Read more
No: It is one of eleven criteria to diagnose , but in itself it can be due to many less harmful things including normal reaction tossing. ...Read more
Yes: In reality, only a minority of lupus patients have a classic "butterfly" rash. Less specific rashes, joint pain, fatigue, sun sensitivity, and many other symptoms can raise a suspicion of lupus. The diagnosis is usually confirmed by laboratory testing. If the diagnosis is unclear, consult woth a rheumatologist. ...Read more
Yes: Though the butterfly rash on the cheeks is common, it is not always present. Some patients may never have an evident malar rash (the technical name). Interestingly, the name of the disease, which is latin for "wolf, " is based on the fanciful idea that the rash makes faces look wolf-like. ...Read more
The most common symptoms of lupus, which are the same for females and males, are:
extreme fatigue (tiredness),
painful or swollen joints,
anemia (low numbers of red blood cells or hemoglobin, or low total blood volume),
swelling (edema) in feet, legs, hands, and/or around eyes,
pain in chest on deep breathing (pleurisy).
Butterfly-shaped rash across cheeks and nose,
others. ...Read more
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