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Doctor insights on: How Long Does The Malar Rash Last In Lupus

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Recently diagnosed with lupus and started 5mg prednisone and 200 mg plaquenil (hydroxychloroquine) twice a day. How long until the malar rash goes away? Meds started 3 weeks

Recently diagnosed with lupus and started 5mg prednisone and 200 mg plaquenil (hydroxychloroquine) twice a day. How long until the malar rash goes away? Meds started 3 weeks

Malar rash: It takes time. Be patient. It is important that you always use sunscreen on this area and never to allow it to get sunburned. Additionally, consider seeing a dermatologist in another 5 weeks if the rash is not starting to get lighter. Even taking a picture and comparing every 4 weeks would give you a starting point. ...Read more

Dr. Cornelia Franz
1,059 doctors shared insights

Rash (Definition)

Most bumps and blotches on a newborn baby are harmless and clear up by themselves. By far the most common skin problem in infants is diaper rash. Diaper rash is an irritation of the skin caused by dampness, urine, or feces. Most babies who wear diapers will have some type of diaper rash. However, there are other skin disorders that can cause rashes. These are usually not serious unless ...Read more


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Malar rash+fatigue, last CBC show slight up htc, rbc, normalt3, t4, tsh, c3, c4, urea, creatinine, ANA -ve, more epistaxis, I am panic bcuz rash like lupus rash

Malar rash+fatigue, last CBC show slight up htc, rbc, normalt3, t4, tsh, c3, c4, urea, creatinine, ANA -ve, more epistaxis, I am panic bcuz rash like lupus rash

See details: I would doubt lupus. The rash is more likely to be rosacea.. Epistaxis is not a feature of lupus especially if the CBC is normal. Look for other causes. ...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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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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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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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.

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

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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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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

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

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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


Dr. John Chiu
2,561 doctors shared insights

Skin Rash (Definition)

A skin rash is a symptom in which a person has changes on part or all of his skin, such as color changes, bumps, blisters, oozing, peeling, ...Read more