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Doctor insights on: Lyme Malar Rash

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All blood tests for lupus neg. 4 times- just have clinical symptoms for a year, including malar rash-could still be lupus?Lyme test was + 1 year ago..

All blood tests for lupus neg. 4 times- just have clinical symptoms for a year, including malar rash-could still be lupus?Lyme test was + 1 year ago..

Unlikely: Negative autoantibodies make lupus unlikely but not impossible.You can always get a 2nd opinion. If the rash is present elsewhere besides the face have a dermatologist biopsy it and send it for evaluation including a lupus band test. ...Read more

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Dr. Randy Baker
639 doctors shared insights

Lyme Disease (Definition)

A condition caused by borrelia burgdorferi. Acute symptoms can include bullseye rash, headaches, joint pain, fever, and flu-like sx. Chronic symptoms can include fibromyalgia symptoms, nerve pain in extremities, mood swings, brain fog, heart problems. Lab diagnoses are not very reliable, and sometimes clinical ...Read more


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Any other causes of malar rash besides lupus & lyme? it definitely isn't rosacea or seb derm due to appearance

Any other causes of malar rash besides lupus & lyme? it definitely isn't rosacea or seb derm due to appearance

See details: Lyme does not cause a malar rash. The most common cause is rosacea. If you have lupus, the logical cause is lupus. ...Read more

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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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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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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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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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How long does a malar rash last?

How long does a malar rash last?

Sometimes. Forever: It depends on the cause of the rash. If it is secondary to lupus, it may be present forever or it may resolve with treatment. ...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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Is there anything you can put on a malar rash to make it go away?

See a dermatologist: A malar rash can have several causes including roseacea or even lupus. See a dermatologist before trying home remedies. ...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

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
2,618 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