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Doctor insights on: Fever Malar Rash Proteinuria

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ANA 1:640, malar rash in sun, periodic leukopenia,pleuritic chest pain,photosens rashes,mouth sores,raynauds,muscle & joint pain;sed rate,C3,C4 normal?

ANA 1:640, malar rash in sun, periodic leukopenia,pleuritic chest pain,photosens rashes,mouth sores,raynauds,muscle & joint pain;sed rate,C3,C4 normal?

Malar rash: What you are reporting is not normal. Most of your problems could be caused by an autoimmune disease, most likely Lupus. You need to be seeing a doctor. Doctors who specialize in this type of disorder are Rhematologists. ...Read more

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Dr. Nour Baltagi
127 doctors shared insights

Proteinuria (Definition)

Proteinuria means the presence of excess of serum proteins in the urine. The excess protein in the urine often causes the urine to become foamy. Up to 150 mg a day of protein may be excreted by a normal person most of this being tamm-horsfall protein. Between 150-300 mg/day may be considered microalbuminuria and greater than 300mg/day is abnormal and ...Read more


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Doed this look like a malar rash or just sunburn I am very concerned i go to doc tomorrow but im soo worried pic in profile?

Doed this look like a malar rash or just sunburn I am very concerned i go to doc tomorrow but im soo worried pic in profile?

Difficult to say: Can't tell with the picture in profile due to shadows. The good thing is that you will be seeing your doctor tomorrow. ...Read more

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The malar rash is inflammation caused from the immune system. Does this mean a malar rash is immune-mediated by definition?

The malar rash is inflammation caused from the immune system.  Does this mean a malar rash is immune-mediated by definition?

All are...: All "rashes" are the result of the immune system. The difference is the trigger for the rash. So yes, it is an immune-mediated rash. ...Read more

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Does Rosacea appear Brown after Sun exposure? Does Lupus Malar appear Brown after Sun exposure? What type of Butterfly Rash turns Brown in Sun?

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

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Is the malar/butterfly rash a permanent rash?

Butterfly rash: Malar rash is commonly associated with lupus and can vary in intensity over time, a dermatologist can help advise you on topical medications. ...Read more

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What causes this malar rash or "butterfly" rash on my face?

What causes this malar rash or "butterfly" rash on my face?

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

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Would ESR usually be raised with malar rash due to inflammation?

Would ESR usually be raised with malar rash due to inflammation?

Possibly: Localized rashes do not usually raise the ESR. It really depends of the cause of the malar rash. An underlying lupus would, rosacea would not. ...Read more

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Can dermatographia associated with lupus, I have only malar rash and dermatographia, all other things normal?

Can dermatographia associated with lupus, I have only malar rash and dermatographia, all other things normal?

Dermatographia: The exact cause of dermatographia is unknown. However, it is more associated with allergies rather than lupus. Symptoms of dermatographia usually go away on their own, and treatment for dermatographia generally isn't necessary. However, if the condition is severe or bothersome, your doctor may recommend antihistamine medications such as diphenhydramine, fexofenadine or cetirizine. ...Read more

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What is the percentage of developing the malar "butterfly rash" for Lupus patients? I was informed that only 30% will suffer from it.

What is the percentage of developing the malar "butterfly rash" for Lupus patients? I was informed that only 30% will suffer from it.

It depends: Avoid sunlight and you'll probably avoid the butterfly rash. And sun exposure may not even trigger it. Lupus is diagnosed by checklist -- a certain number of checks, with some groups weighted, gives the diagnosis -- and the diagnosis itself is only a guide to "what should we do" for this still-elusive illness. Best of luck. It's an especially challenging disease. ...Read more

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Early on in the course of Lupus could all blood results be negative/normal? still ill and getting blatant malar rash despite neg results

Early on in the course of Lupus could all blood results be negative/normal? still ill and getting blatant malar rash despite neg results

Very unlikely: Have the rash biopsied and then you will know. Discoid lupus often has a negative ANA but with systemic lupus a negative ANA is very rare. ...Read more

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Would a skin biopsy for lupus still come up positive, even without a malar rash?

Would a skin biopsy for lupus still come up positive, even without a malar rash?

It can: There are many types of rash that can be seen in lupus. While the mal;ar or butterfly rash is the most common there are other lesions including the discoid rash of lupus. Many other rashes are also described as being seen in lupus. Even normal appearing skin can be positive for lupus using special stains and techniques. ...Read more

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I have polyarthritis with mild pleuritis and a mild malar rash. What are these symptoms of?

I have polyarthritis with mild pleuritis and a mild malar rash. What are these symptoms of?

Lupus: These would be classic for lupus erythematosus but some people have several diagnostic criteria for lupus and still do not have the disease. See a rheumatologist to best determine the diagnosis. Pleurisy and arthritis go together in other disease also. Many of the possibilities are treatable. ...Read more

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What to do if I have polyarthritis with mild pleuritis and a mild malar rash. What could this be?

What to do if I have polyarthritis with mild pleuritis and a mild malar rash. What could this be?

Most likely lupus: Impossible to say for sure without more details but the arthritis, pleuritis and malar rash are three out of 11 cardinal features of lupus. More information including lab studies are needed. I would definitely seek the help of a rheumatologist. ...Read more

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I am obese person and had malar rash and chronic urticaria from 8 months, what is explanation of my case?

I am obese person and had malar rash and chronic urticaria from 8 months, what is explanation  of my case?

Rash condition: This might be a certain condition. You would need to see a physician, possibly a rheumatologist and have further testing to confirm the diagnosis. ...Read more

Dr. Milroy Samuel
98 doctors shared insights

Protein In Urine (Definition)

Protein is an expensive commodity for the body. The kidneys are entrusted to return protein back to the body during filtering, and not lose it to the urine. Losses > 150mg/day are indicative of a problem with the filtration mechanism of the kidney. A nephrologist should be consulted ...Read more


Butterfly Rash (Definition)

"butterfly rash" is usually in reference to lupus and refers to a red rash, usually made a lot worse with sun exposure, that shows up across the cheeks and nose. Apparently, someone thought this reminded them of the ...Read more