Doctor insights on:
Lupus Rash Blanch When Pressed
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
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
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
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
Can a butterfly lupus rash come and go last at times hours and other times couple days? How long does it usually last?
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
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
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
Just baught organic coconut oil for the lupus rash on face. How long should I leave it on face before washing? Or should I let it be fully absorbed?
Have heard of Rx: Never heard of coconut oil as a treatment for lupus rash but it is a good moisturizer and you can leave it on as long as you want (within reasons). ...Read more
See your doctor:
Warm shower ---not likely
Can a lupus rash look like a sun burn? I keep getting bright red areas on shoulders/forarms, sometimes blotchy...Then in like 3-4 hours its gone...
Not lupus: Transient rashes as you describe would not be due to lupus. ...Read more
Can lupus rash be all over face and forehead ears etc... Or is it only occurs on the cheeks and nose bridge only?
Not only on nose: There are many forms of lupus. The butterfly rash is well described but the rash not only need to be there it can occur on other facial areas a well as the trunk. Males tend to be less prone but lupus occurs in them as well. The best test is to see a rheumatologist or your primary as a start. A few simple blood tests can rule out lupus quickly. ...Read more
Is there a way to know if a sore inside the nose is just a plain old zit or if it might be part of something like lupus? (rash biopsy possible lupus)
Yes: Please see your regular primary provider for further evaluation and treatment. ...Read more
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
Variable: It is frustrating to many, but true. There are different rashes associated with lupus and many don't itch, but some do. If this is a single symptom so far - you will probably find an uncertain diagnosis based either on global facial flushing or itchy skin. Try not to panic and try to find a doctor you can express your worries to. Many early disease signs are unclear - therapists can help. ...Read more
Yes: People with lupus can have a variety of cutaneous manifestations. There are many rashes from lupus but people with lupus can also get rashes that are not from lupus. You need a dermatology evaluation because different rashes need different therapies. If the rash is from lupus that needs direct attention. There are topical, oral and injection therapies and specific rashes need specific rx. ...Read more
While there are: Characteristic rashes in sle, this is not required for diagnosis. Utis are not associated. ...Read more
What can I do to deal with rashes from lupus? Are there any good remedies for skin rashes caused by lupus?
I have lupus & very sensitive skin what kind of sunscreen or block do you recommend or what other things should I do to prevent skin rashes?
Can lupus cause rashes and itchiness on other parts of the body besides the face? Can sjogren's or another autoimmune cause rashes and itchiness?
Yes: The scalp is very common.Get a more detailed answer ›
How do the rashes associated with annular lichen planus and subacute cutaneous lupus differ in appearance?
Lupus vs lichen: Too hard to explain with words! A photo of each would explain it all! See your dentist or look for photos online! ...Read more
Ana positive 1:640 speckled then 1:80. Rna negative. I'm always in pain. Get weird rashes. Have sob. Family history for lupus could it be lupus?
I had a biopsy on rashes it showed I have lupus. All my blood work is neg (lupus panel) wouldn't it show in blood test? Is this diagnosis wrong?
Discoid lupus: Have a good talk with the Dr who did the biopsy. ...Read more
Petechiae rashes on upper chest. What could this be? I have had blood test for lupus and sjogren's syndrome but all came back negative except C3 level
Are they petechiae?: Real petechiae do not lose their color when you press down on them. With your dry eyes and joint pain, sjogren and lupus labs are in order. What's your platelet count, did you bleed badly during a dental procedure, and did your physician try something simple like a capillary fragility / tourniquet test? If it really petechiae without signs of clotting trouble, a dermatology consult is in order. ...Read more
I was diagnosed with fibro without having blood tests but my hair is falling out I have rashes on my arms and I'm so weak could it be lupus?
Not sure: Diagnosis fibromialgia does not require blood work. However it is important to rule out thyroid disorders and autoimmune causes with clinical and laboratory evaluations. ...Read more
Had all tests neg & facial biopsy show seb derm but biopsy missed main rash. Possible to have seb derm as well as lupus? Fatigue, joint pain, rashes
Seborrhea vs Lupus: Have you been diagnosed with lupus? Certainly symptoms of joint pains, malar rash and fatigue can be due to lupus and the can be together. ...Read more
Break out in hives in sun, migrating athralgia, rashes, fatigue, muscle weakness, neuropathy but neg ANA ENA fbc etc. Surely must be early lupus?
Anxiety disorder: Anxiety is a subjective state of tension, apprehension, worry, uneasiness or fear. It may be related to anticipated danger or arise for no apparent reason. While mild episodes of anxiety are common and do not usually require treatment, more severe forms can be chronic and debilitating. Symptoms of severe anxiety: insomnia, sweating, palpitations, tremors, and fatigue. See you pcp for the referral. ...Read more
How long does it take to get a diagnosis of lupus when they start showing signs of the disease. Positive ana's. Sob rashes joint pain fatigue protein n urine?
It depends: It often depends on how soon you can reach a specialist like rheumatologist. See one soon if possible. ...Read more
Son suffers from anxiety severe sunburn and blistery rashes from sun canker soars fatigue joint pain and now leg itching resulting in rash. Lupus?
Need more history: In that the above information is insufficient to make a specific diagnosis. How much sun exposure? Is son fair or olive skin? One joint or multiple? Injury or none? Appearance of rash, possible contact or exposure, history of eczema, etc. If chronic and feeling fatigued, start with a physical by your doctor and blood tests may be helpful. ...Read more
Can someone have lupus even if the only symptom is bilateraljoint pain in hands, shoulder, knees, wrist? (-)rashes, photosensitivity, weakness, fatigue, fever
Of Course; ; Hope No: Lupus erythematosus is a notoriously variable disease process, from person to person ; time to time. Since which portions of their body the person's immune system is currently targeting, ; to what degree, varies widely, the consequences also vary widely. Even with high quality lab, diagnosis is problematic ; while treatment outcome, by only medications, can help, outcomes are rarely very good. ...Read more