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.
Cheekbones rash. Systemic lupus erythematosus, sle, lupus, is an auto-immune disorder in which a person's immune system is reacting strongly against parts of his own body. The inflammation caused by the immune system reaction (hypersensitivity reaction) leads to the lupus symptoms, including the butterfly rash (malar rash). The rash is more likely to occur, and seems to worsen, after exposure to sunlight.
YES IT IS. Yes it can be itchy.
How long is it supposed to it take for plaquenil (hydroxychloroquine) to get rid of the lupus butterfly rash?
Give it 6 months. Plaquenil (hydroxychloroquine) takes up to about 6 months to reach its maximum effect. It often has little or no benefit in the first 6 weeks of its use.
No. Rosacea causes very similar findings and is fairly common.
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.
Yes. In reality, only a minority of lupus patients have a classic "butterfly" rash. Less specific rashes, joint pain, fatigue, sun sensitivity, and many other symptoms can raise a suspicion of lupus. The diagnosis is usually confirmed by laboratory testing. If the diagnosis is unclear, consult woth a rheumatologist.
Absolutely. Many presentations of sle are very different. A malar rash is only one of many presenting clinical problems. Only 30 percent of sle pts coming to a rheumatogist have the rash. I suspect it is higher for dermatologists.
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.
Yes. There are several different signs and symptoms of lupus---check out the lupus foundation's website.