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Doctor insights on: How Does Sle Butterfly Rash Form

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How does the sle butterfly rash develop?

How does the sle butterfly rash develop?

Malar Rash: The malar rash of lupus is red or purplish and mildly scaly. Characteristically, it has the shape of a butterfly and involves the bridge of the nose. Notably, the rash spares the nasolabial folds of the face, which contributes to its characteristic appearance. It is usually macular with sharp edges and not itchy. Sun exposure can worsen the rash. ...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


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I have a fever, cough, butterfly rash, migraine, joint pain, and sle should I be worried?

I have a fever, cough, butterfly rash, migraine, joint pain, and sle should I be worried?

See details: If you have been diagnosed with lupus you are likely flaring and need to call your rheumatologist. If you suspect lupus you need to see a rheumatologist. ...Read more

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I have butterfly rash, cough, very painful joint pain, slight pain in back near ribs, have SLE should I be worried, cannot contact rheumatologist?

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

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I wake up with swollen eyelids, and I have joint pain and faint butterfly rash and fatigue, hot flashes should I be worried that this is a flare, SLE?

I wake up with swollen eyelids, and I have joint pain and faint butterfly rash and fatigue, hot flashes should I be worried that this is a flare, SLE?

SLE: Diagnosing systemic lupus erythematosus is a tricky proposition. The symptoms you describe have a wide range of causes. SLE can sometimes present with a rash, swollen eyelids and joint pain but these symptoms alone do not necessarily indicate SLE as the cause. ...Read more

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I have mild swelling on legs, severe constant joint pain, fatigue, butterfly rash, SLE the other day there was blood In my pee could kidney be damaged?

I have mild swelling on legs, severe constant joint pain, fatigue, butterfly rash, SLE the other day there was blood In my pee could kidney be damaged?

Should be checked.: There is something called lupus nephritis, in which the process of SLE inflames the kidney. Any new hematuria deserves investigation into the true cause. This does not mean the kidneys are damaged, but the cause of your symptoms should be clarified. ...Read more

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I have SLE of nephritis, fatigue, severe joint pain butterfly rash, cough, fever, mild swelling, had blood in pee one day could it be kidney damage, flare?

I have SLE of nephritis, fatigue, severe joint pain butterfly rash, cough, fever, mild swelling, had blood in pee one day could it be kidney damage, flare?

Could be: SLE is a multi-system disease which can effect multiple organ systems. You mentioned that he already had an SLE nephritis. That could cause the hematuria. Have him see his doc soon. ...Read more

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Is butterfly rash always lupus?

Is butterfly rash always lupus?

No: Rosacea causes very similar findings and is fairly common. ...Read more

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What is the lupus "butterfly" rash?

What is the lupus "butterfly" rash?

Malar Rash: The malar rash of lupus is red or purplish and mildly scaly. Characteristically, it has the shape of a butterfly and involves the bridge of the nose. ...Read more

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Might someone have lupus and not have the butterfly rash?

Might someone have lupus and not have the butterfly rash?

Yes: There are several different signs and symptoms of lupus---check out the lupus foundation's website. ...Read more

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Can lupus present with just a faint butterfly rash?

Can lupus present with just a faint butterfly rash?

May be: It requires multiple factors to diagnose lupus. Butterfly rash is just one of the many manifestations. See this site for diagnostic criteria.
http://www. Lupusresearchinstitute. Org/lupus-facts/lupus-diagnosis ...Read more

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Why is the butterfly rash in systemic lupus erythematosus?

Why is the butterfly rash in systemic lupus erythematosus?

Thin skin: Thin area around the nose/cheeks is very sensitive to sun and the first to show sle signs. ...Read more

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If I have a the butterfly rash on face, is there is possibility that it is lupus?

If I have a the butterfly rash on face, is there is possibility that it is lupus?

Could be anything: One of the signs of lupus is a butterfly rash, rosacea may give you a similar rash. Even certain forms of eczema.
Get checked and get a diagnosis. ...Read more

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What happens if I have a the butterfly rash on face, is there is possibility that it is not lupus?

What happens if I have a the butterfly rash on face, is there is possibility that it is not lupus?

Yes: Lupus is a relatively uncommon cause of a facial rash. Rosacea is far more common. See a dermatologist and then you will know for certain. ...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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I was wondering is a butterfly rash always from lupus?

I was wondering is a butterfly rash always from lupus?

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

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Is it possible to have lupus and not have butterfly rash?

Is it possible to have lupus and not have butterfly rash?

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

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Why is the butterfly rash in systemic lupus called such?

Becuase it is shaped: Because the rash is shaped angularly like butterfly wings: the torse being the nose and the rash spreading wider across the cheeks.
Many facial rashes can resemble the malar rash of sle. Tests can differentiate! ...Read more

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Is a malar or "butterfly" rash always indicative of lupus? What else could it be?

Is a malar or "butterfly" rash always indicative of lupus? What else could it be?

Not always lupus: A malar or "butterfly" rash is one of the signs of possible lupus, but other rashes can appear similar, including eczema, rosacea, seborrheic dermatitis, allergic contact dermatitis, and others. A complete history, physical exam, and possible skin biopsy and/or blood test can usually distinguish between these rashes. ...Read more

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Is the butterfly rash associated with lupus always very bright and pronounced? Or can it be lighter?

Is the butterfly rash associated with lupus always very bright and pronounced? Or can it be lighter?

Dull red: Usually dull-red, sometimes purple. The skin will be atrophic: thin and easily torn. The scalp is often involved, with patchy bald areas of red skin. ...Read more

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Just what causes the lupus butterfly rash? It's the craziest thing. Ever since dx, I get the rash but mine's flat. Looks like too much blush.

Just what causes the lupus butterfly rash? It's the craziest thing. Ever since dx, I get the rash but mine's flat. Looks like too much blush.

Dilated blood vessel: The redness is due to the increased blood flow with an increased number of tiny blood vessels. If you magnify the rash you will see these vessels. It is related to the inflammatory response to the skin with the lupus. Not all red facial rashes is lupus. Sometime the lupus rash can also be raised. Sun exposure emphasizes the rash and can increase it. ...Read more

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Is it possible to hav lupus with all syptoms except 'butterfly rash'on face?

Is it possible to hav lupus with all syptoms except 'butterfly rash'on face?

Certainly: The malar rash is one out of 11 diagnostic criteria for SLE with diagnosis likely if > or = 4 of these criteria are well-documented as present at any time in a patient's history. 98% of patients will have a positive ANA or other autoantibodies. ...Read more

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I was diagnosed with ra. Recently, I have been showing the symptoms of lupus. Minus the butterfly rash. Is it possible that I was misdiagnosed?

RA and LUPUS: Ra is a crippling collagen disease and also related to lupus. The two kinds of lupus are discoid (localized) and systemic. The sx are similar but it depends on the organ involved. Both give positive results in the blood, RA positive and le positive. ...Read more

Dr. John Chiu
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