Doctor insights on:
Difference Between Rosacea And Lupus Rash
I have recurring flares of rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back. My ANA is 6:40. I'm on plaquenil. Why are all my other antibodies neg for lupus?
Maybe SLE maybe not.: Diagnosis of rheumatologic disease is generally based on symptoms with support from lab. Sounds like you have a rheumatologic disease and are being treated with a rheumatologic agent perhaps by a rheumatologist. They can explain your particular situation better, but suffice it to say tests are not always right and a single test does not generally make or break a diagnosis. ...Read more
Lupus rash, also known as malar rash, is a red, purple, or blue, scaling rash on the cheeks and across the bridge of the nose giving the characteristic "butterfly" appearance. While commonly associated with Lupus, it can also occur in several "Lupus-Like" syndromes, often related to medications ...Read more
Big difference: Rosacea tends to be a reactive process in response to various stimulants that may eventually produce long term skin changes such as rhinophyma that are commonly treated with avoidance and antibiotics whereas lupus is associated with a "butterfly" rash that is a manifestation of an underlying autoimmune disease that are commonly treated with steroids. ...Read more
For lupus Rash, which cream is better; PROTOPIC 0.1% or ELIDEL (pimecrolimus) 1%? and please describe the difference between the two. Thanks.
Protopic.: Protopic and Elidel (pimecrolimus) are calcineurin inhibitors -- anti-inflammatory topical medications. Most dermatologists (me included) feel that Protopic works better than Elidel (pimecrolimus), and neither works as well as steroid creams on inflammatory skin diseases such as lupus - but they lack the steroid-related side effect risks, so worth a try before going to a steroid cream. ...Read more
Does Rosacea appear Brown after Sun exposure? Does Lupus Malar appear Brown after Sun exposure? What type of Butterfly Rash turns Brown in Sun?
Malar rash: Melasma is a very common patchy brown, tan, or blue-gray facial skin discoloration, usually seen in women in the reproductive years. It typically appears on the upper cheeks, upper lip, forehead, and chin. Lupus may cause a butterfly rash which can be exacerbated by the sun. A malar rash associated with lupus may be erythematous (red) or brown. ...Read more
Why someone 15 minutes in the Sun and he will get Malar rash butterfly shape on face? Is it lupus? Isn't rosacea soberiac dermatitis different shape
Needs Dermatologist: Butterfly rash of Lupus is red or purplish. It involves the bridge of the nose. Note it spares the nasolabial folds of the face. Patient can get blood tests to clarify ...Read more
Any other causes of malar rash besides lupus & lyme? It definitely isn't rosacea or seb derm due to appearance
Why would a dermatologist assume a Malar rash is Rosacea and not Lupus because it is not a raised rash? I have read Lupus can appear as flat lesions?
Rosacea vs lupus:
Malar rash of lupus is flat or mildly raised.
It spares nasolabial folds.
Difficult cases may need a biopsy and immunoflorescence can clinch the diagnosis ...Read more
Can late-stage Lyme, EBV, HHV6, or lead toxicity cause a malar rash? Blood test - for lupus. Skin biopsy - for rosacea but + for general inflammation.
There is the classic malar (butterfly) rash across the cheeks and the bridge of the nose. But this rash is actually uncommon. Follow this link to read much more:
http://www. Lupus. Org/webmodules/webarticlesnet/templates/new_empty. Aspx? Articleid=453&zoneid=76. ...Read more
Unlikely: Itching is generally not a major component of lupus rashes. See a dermatologist for diagnosis and treatment. ...Read more
If I am taking Plaquenil (hydroxychloroquine) everyday for about year should the lupus rash not occur.
See your doc: Generally the answer is no. A mild rash may be acceptable or it could be a sign that your lupus is not under control. You may need an increased dose or different medication. Speak with your doctor about these concerns. ...Read more
Butterfly facialrash: The classic malar rash is a red, scaling rash on the cheeks extending over the bridge of the nose but not in the grooves between the nose and the cheeks (nasolabial folds). The rash can be present in other diseases and you must have other features of lupus for the diagnosis. A rheumatologist can make the diagnosis based on lab tests, symptoms, physical exam, and history. Call your doc if concerned ...Read more
Can a butterfly lupus rash come and go last at times hours and other times couple days? How long does it usually last?
Usually not...: The rash of lupus usually does not affect the creases that run from the sides of the nose to the corners of the mouth... But usually does not mean never. ...Read more
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