More than 90% of people with lupus have skin symptoms, and it was seen that these symptoms are more common in whites than in African Americans.

In those patients who have systemic lupus erythematosus there can appear many types of rashes, while the classic lupus rash is a redness on the cheeks.

A special characteristic rash is the one brought by discoid lupus, which manifests as red skin patches on the skin and scaliness and can lead to scarring. It often appears on the face and scalp and can lead to loss of scalp hair.

Hair loss can also occur because of the immunosuppressive medications, or with flares of systemic lupus erythematosus, even without skin rashes in the scalp.
An erythematous rash in a butterfly distribution on the face can show the presence of the acute cutaneous lupus erythematosus. Located in both cheeks and across the bridge of the nose, this blush is slightly edematous and appears usually after sun exposure, persists a few days and heals without scarring. It is known that there can appear erythematous lesions in other areas of the body too.

The subacute cutaneous lupus erythematosus is dealing with localized or generalized lesions, may involve any part of the body and the erythematosus lesions may resemble a drug reaction as they involve palms and soles. The lesions are usually pruritic, and the maculopapular rash usually occurs after sun exposure. Most of the time, these lesions heal without scarring, but there exists the possibility that persistent lesions that become crusty to heal with only slight atrophy of the skin.
Chronic cutaneous lupus erythematosus can appear anywhere, although usually it affects scalp and ears, and the rash may be pruritic. At the beginning, the lesions are erythematous, slightly elevated papules or plaques, in time they become raised, bright red, edematous, then the center becomes depressed, the colour fades and becomes atrophic, and the edematous red periphery slowly enlarges and becomes irregular with some telangiectasias. We must also mention that there are follicular plugging characterized by small round areas of hyperkeratosis in older lesions. It was seen that usually, these lesions heal with scarring and hyperpigmentation or hypopigmentation.

If the lesions that are involving the scalp are erythematous and scaly, the hair usually grows back, but if the lesion heals with scarring the hair loss is permanent.
Lupus Panniculitis, appears as deep nodules, shows lesions situated below the skin in the subcutaneous tissue, and it is known to heal with a deep atrophy of the involved area.

Neonatal Lupus is seen in newborn babies, develops rash similar to the annularpolycyclic rash seen in subacute cutaneous lupus erythematosus, and the bullous lupus erythematosus develops blisters which contain a clear seurous fluid, and may range from 3 to 40mm in diameter, the lesion resolving spontaneously usually without a scar after a week, but reappearing periodically. About the author So if you want to find more about Lupus or more details about lupus treatment please follow this link http://www.lupus-guide.comSource: http://www.articlesalley.com/article.detail.php/53045/161/Diseases_and_Conditions/Health/22/Some_things_about_lupus_rash


29 thoughts on “Some Things About Lupus Rash

  1. Shelly H

    can someone who has lupus give me some advice?
    for the past 5 months…i’ve had a spreading rash on my body…started on my chest (for about 3 months)…didn’t panic about that….but then it spread to my leg, shoulders and arms. I then booked an apt with a well know dermatologist practice in the area. I saw a young trainee and she told me i had ringworm…gave me 2 weeks worth of medication and asked me to get blood work done.
    this didn’t work so when i went back the 2 weeks later…another doctor met with me and said i’m sorry but you don’t have ringworm…we believe its lupus. she said we need to take a skin sample to do a biopsy and will get back to you within 10 days.
    friday willl be the 10th day…but since i’ve met with them 5 days ago….its gotten even worse…should i call up today ????
    also what is the treatment ???
    what helps to cover up the rash ??? spray tan ????
    i just need to know as much info as possible about lupus…i’ve googled of course but i want to hear from someone who has it.
    i have had hair loss….some fatigue (but maybe thats in my head )…and my wrists do ache in winter time……i’m 28 years old !! female
    i know everyone talks about the butterfly rash…i do not have this. – no rash on my face of yet.
    just the other areas i mentioned…starting to see tiny spots coming on my hands and feet.

  2. Lady Prism

    People diagnosed with Lupus… need help and info!?
    I do not wish to write a paper about all the details and symptoms, so I’ll just summarize, then ask my question.

    Over the last 5 years, I have had symptoms of EXTREME fatigue, joint pain, canker sores, mild hair loss, etc. I am also anemic (which no amount of iron or B vitamins changes in the slightest). In this time, I have also had a false positive Syphilis test, and chronic kidney stones (3 in 7 years).

    In August of 08, I developed a cough that STILL has not gone away. I have been to TONS of doctors and been diagnosed with pneumonia, asthma, bronchitis, allergies, etc, and put on more antibiotics than I care to think of… all the antibiotic treatments actually made me feel worse.

    I also developed a sudden, strange rash on my leg after being out in the sun for a couple days… which also has not gone away. And more recently, I have a light butterfly rash on my face.

    Last month, I finally found a doctor that said “Wow… 8 of the 11 symptoms of Lupus… let’s get you tested.” I was x-rayed to check for Pleurisy (in the lung tissue), and put through about 10 blood tests (also checking for lyme disease, just in case).

    Even after the false positive Syphilis, and the anemia, I tested negative on the ANA test. Kind of. I tested higher than normal, but apparently too low to make a full diagnosis of Lupus.

    What does this mean exactly? Is there such a thing as borderline Lupus? And I know there are a few other diseases that mimic Lupus… but what are they? I know that Fibromyalgia is one of the “mimic” diseases, but would that also account for the blood disorders that I DO have and the rashes?

    I do have another appointment with my doctor in a couple weeks, and I also know that making a Lupus diagnosis can sometimes take a while… but has anyone had the negative ANA issue and still been diagnosed with SLE? And what was your experience… anything I should ask my doctor to look for on the next visit?

    Thanks!
    Oh, they did also check my thyroid… everything normal there.

    And should I mention, also, that my symptoms began during pregnancy and have gotten progressively worse? This has been going for about 5 years… and just now I’ve screamed loud enough that I am being taken seriously.

    1. Constance

      Unfortunately it may take years to DX Lupus. I had all of the symptoms you do and saw a Rheumatologist for about 5 years before my ANA was positive. In the 5 years I also had a pos. Scleroderma and Sjogrens. All along my doctor said that probably I would develop Lupus buy it was a wait and see. Keep a diary of your symptoms and continue to see your doctor. Hope this helps.

  3. Marla

    To sufferers of immune disorders: How can I treat myself for possible lupus/rheumatoid arthritis? (detailed)?
    Allergic to dust/grass as a child, but allergy-free from age 13 until recently (I’m now in my late 20’s).

    Hep C

    Early 20’s: diagnosed with Hep C (untraced source). I was suddenly cured after 1 mo. My doctor said my own body got rid of it, which is rare for hep C patients.

    Several months later I noticed when I’d lay on my left side, there’s a tingly, tender sensation. There’s no pain and I got used to it so I’m just living with it.

    Arthritis?

    8 mos ago: sudden onset of stiffness/jammed feeling on both wrists (overnight). Always had weak/inflamed knees since 4 yrs back, would disappear with regular exercise.

    Got Sick

    Late last year I had flue more than a month. I was diagnosed with bronchitis, was on antibiotics and was cured right away.

    I started lightly working out again and just a month later I WAS SICK AGAIN! I was down for only 3 days though compared to the last time. Coughed 1 month. I was on stronger antibiotics and cured. I also saw an allergy doctor and was diagnosed with sinusitis and now on corticosteroids.

    Results

    My ANA blood test turned out POSITIVE. My doctor ordered a 2nd test for next month. She said it’s an indication of possible lupus or rheumatoid arthritis.

    Extra info:

    Never been overweight my whole life.
    Ethnicity: Asian.
    My other “illnesses” recently diagnosed: costochondritis.
    Always had: severe dandruff, on and off but worse now; dandruff-related facial rash, only shows up on the same spots – left cheek near nose, between eyebrows.
    Falling hair is worse now.

    I’m a copywriter for more than 3 yrs. I admit my posture is VERY bad, often sitting or lying on my stomach on the bed (probably caused the costochondritis). Was diagnosed 4 yrs ago with borderline anemia (mother is anemic). Prescribed iron supplements but I stopped cos of side effects which is diarrhea.

    THIS IS MY DILEMMA: I was thinking of eating healthier and exercising again. But wouldn’t raising the immune system make things even worse? I just hate the idea of being on immune-suppressing drugs, considering my now sensitive liver. I would be more open to “natural” treatments. How do I go about this?

  4. SazzyC

    Face rash on cheeks everyday! Allergy or lupus?
    hey there. I’ve always been blessed to have really good clear skin but for the past few months i’ve noticed a rapid change and now I seem to have this permanent pink rash high on cheeks (down from eyes and sometimes over bridge of the nose) it looks irritatated and dry but i’ve done nothing, used nothing new, use gentle washes, mostly just water now. My diet’s rich in fruit & fish . I don’t know if i have an allergy or not but my chest has also been hurting me on and off, a swollen feeling. I had a bad infection 2months ago and was givien penicilin, so i may be allergic to it, but before the treatment i had to go to casualty as my chest was so sore but docs found nothing apart from my toe infection, so that’s why i’m thinking lupus as my aunt has it.. but i’ve been off them 2months now. Apart from that, i feel in general good health, just tired and achey sometimes any help appreciated! as this rash is driving me insane! 🙁

    1. Donna B.

      That’s a very good assessment but only occurs with discoid lupus.It only will involve the skin The second type is SLE, systemic lupus erythematosus, and can involve many systems in the body. You need to see a Rheumatologist for a correct diagnosis. Take care, Donna

  5. Kavin Robe

    Need help for my biology assignment?
    A 45 year old man came to the emergency department complaining about shortness of breath, chest pain which is came to the emergency department complaining about shortness of breath, chest pain which is severe by deep breathing of one week duration. he had generalize easy fatigability, malaise,skin rash that worsens with sun exposure, fever and joint pain for about three weeks prior to his current complaint. Physical examination revealed the following:
    General appearance: Acutely sick looking, in sever cardiorespiratory distress
    Respiratory rate 32 , Heart rate 112, Blood pressure 110/68, Temperature 37.8 C
    He has erythematous malar rash, decreased air entry on both sides of the lung, there is pericardial friction rub on the pericardium.
    The knee and wrist joints are swollen and painful.

    The attending physician ordered the following lab tests with the impression of Systemic lupus erythematosus.
    White blood count elevated, ESR (Sedimentation Rate) very elevated, Xray bilateral pleaural and mild pericardial effusion
    ANA and Anti Ds antibody positive.
    Then the patient was started with high dose prednisolone by the intravenous route and responded well to treatment after a couple of weeks.

    .What are the organ systems affected in this patient
    do you think the prednisolone helped the patient?
    What is the pathophysiology behind this illness?

    1. Aaron

      Lupus is an autoimmune disease. Autoimmune diseases are when a persons own immune system messes up and doesn’t recognize part of the patients body and then attacks it as if it were an invader. This means, that the pathophysiology is that antibodies are created against the part of the patients own body. Normally, (normal physiology) antibodies are only created to recognize intruders, like viruses and bacteria. In systemic lupus erythematosus, the immune system generates antibodies against connective tissue, which is the stuff that holds your body together, like collagen, and cartilage.

      Prednisone should help the patient because it is a corticosteroid, which are drugs that regulate the immune system to reduce inflammation.

      If you want to read more, check out the Mayo Clinic’s website. It is a great resource for easy to understand info.

  6. momzpeachy

    What if I have Lupus?
    I have posted a few questions lately. I’m just really scared. I’m a real mess. I feel sick, have chronic pain and just ache all over. Ihave been having trouble going to the bathroom now and I just feel so swollen everywhere. I feel like the goodyear blimp! But yet in a lot of pain! I want this to stop! I’m afraid the Doctor’s have really screwed up and made things worse for me. A year ago I started having problems with pain, fatigue and headaches but all they wanted to do was prescribe migraine medicine. Now I’m so much worse and went through several course of treatments with nothing working. I am worried that I may have lupus and/or rheumatoid arthritis. Both run in my family. My cervical spine is falling a part and believed to be a cause for my neck and arm pain. I have all the signs of degenerative disc disease. Here’s the rest…my hair falls out every day…barely growing any more..I have a rash (it comes and goes) on my cheeks. It kinda looks like wind burn.Uh oh

    1. Dr. Joe?

      I’m sure your aware that your symptoms share more than a passing resemblence to lupus. The rash on the face, often caled butterfly rash is a symptom of lupus; as is the hair loss. Of course other auto-immune disorders can cause such symptoms. Lyme disease shares many similiar symptoms with lupus.

      But since you have a family history of lupus, it seems the logical assumption.

      I think you already know that this is quite likely.

  7. ★☆W.a.b.b.y✿❀

    Which doctor do I choose?
    I’m 21 years old and have some sort of ‘autoimmune inflammatory arthritis’. I’ve had my healthcare split between many doctors and I’m trying to see 1 GP and the specialists I need. I feel like I have too many people putting their opinions in and I’m not getting anywhere in finding a diagnosis and treatment. I’m having a bit of trouble with my rheumatologist at the moment, she has something against me which is making it difficult to work with her.

    So I’m trying to work out which GP would be best to see..

    Doctor 1.
    She’s lovely, she’s got children just a bit younger than me. I’ve seen her twice.
    She takes me seriously and is compassionate and understanding.
    Even though the ‘obvious’ conditions have been ruled out she still believes me and keeps telling me things are going to get better.
    I feel reassured after seeing her, even if she doesn’t write me a script or do anything special.
    Although she and I have different ideas on what’s going on (although I just nod and agree with her because she’s the doctor). She thinks this is going to be a ‘short term thing’, but I’m fairly sure it’s not. She says she doesn’t know a whole lot about rheumatological conditions and it’s up the the rheumatologist. When I asked about getting a second rheumatology opinion she wasn’t all for it. She told me to wait til the next appointment and if I still wasn’t getting anywhere with the other rheumatologist that we would look at other options.
    She didn’t really give me hints on what could be going on, just that the rheumatologist will know best.
    I can get into see her within a few days, but she’s expensive to see (about $35-$40).

    Doctor 2.
    She is also lovely. I’ve only seen her once.
    She works at my university student health. So I may have to wait 7-10 days to see her.
    She took my word for all my symptoms and believed me.
    When I told her about the attitude from the rheumatologist she re-referred me straight away to see a new rheumatologist.
    She was sympathetic and took me seriously when I said my pain wasn’t under control.
    I have a rash on my elbow that my doctor 1 and the rheumatologist said was eczema. Doctor 2 knew exactly what it was and it’s part of my joint problems and is ordering heaps of new tests.
    The doctor was straight with me and said she thought I have Lupus and thinks I need to be seen very urgently! However, if they explore all avenues and there’s no answers, I have a feeling this doctor might just say “you’ll have to live with it”
    It costs only $6.50 to see her.

    I’ve been told I need to make a choice because splitting between them will be harmful to my health.

    Any suggestions on which one I should choose?

    Thanks.

  8. Leah

    Who has tried sjorgotab?…(my lupus rash..)?
    I was just wondering if anyone has had sucess with the sjorotab herbal treatment that is used for sjogrens syndrome? I want to specifically know if it will clear away my lupus rash on my face. Thanks anyone who can help

  9. shaun

    i have to take 2-10mg hydrocodone every 4hr for pain is there anything else less harmful for my organs?
    hydrocodone is for my chronic pain the doctors are trying to find out how best to treat it but im looking for pain management alternatives i live in texas so im limited to pain management treatments. i have a liver problem they are looking into also so the hyd. will not be able to be taken for much longer i have looked for substatutes and have found nothing, my pain is in my body flu like feeling muscles, back, neck, chest, hands arms joints , headaches skin rashes and the heat gives me upset stomach and tiredness and body aches. im currently being treated for lupus but they are not sure if they know just yet they are 100 percent right.

    1. Bradley R

      There are a number of other opioids (same class of drugs as hydrocodone) that do not contain acetaminophen, or how its probably labeled, APAP, which is just tylenol. The narcotic portion of the combination you take is very safe and does not damage organs at all but the tylenol in it is very bad for your liver. They make a drug called vicoprofen which is a combination of hydrocodone and ibuprofen. The ibuprofen (commonly found in motrin) is not harmful to the liver but if you have gastric issues like ulcers or acid reflux it wouldn’t be the best choice.

      There are also dozens of preparations that do not contain a combination but only a narcotic aka opioid. Opioids if taken long term can produce physical dependence however they do not harm your organs at all. You can get extended release or regular 4 hour doses of morphine or oxycodone. I find the latter to be the closest in effect to hydrocodone. Other single product opioids include 72-hour transdermal fentanyl, methadone, levorphanol, pentazocine, oxymorphone and hydromorphine. There are many so I am probably leaving one or two out but they all have essentially the same effect. There is also another, newer drug called tramadol (brand name ultram) that is not quite an opioid but largely binds to the same receptors and therefore has a similar effect although I’m not sure it would be strong enough for you.

      Are you being treated with immusuppressants like prednisone for the possible lupus? Not only would these help any possible autoimmune disorders like lupus, but they will help with muscle pain and joint pain if there is inflammation present. If steroids like prednisone helped reduce some of pain you could take less hydrocodone (or whatever drug) placing less strain on your liver.

      I hope you find a regimen that relieves your pain. I also suffer from chronic pain and I don’t envy anyone who has to deal with it. Feel free to email me if you have any questions about what I discussed here or if you have any other questions about pain medicine. I hope you feel better! Take care

  10. fili

    i may have lupus and need some answers from people who have it ?
    hi, i’m waiting for ana results after having a butterfly rash for few months ,that after treatment refuses to go away,my Doctor asked me to do some blood exams and it seems i have an infection of some sort. Also i suffer from fatigue,kidney pain and constant migraines.
    IT all may be a coincidence and i’m praying for a negative result.
    hat i want to ask is,how where you diagnosed? what age and what happened heath wise after ?
    also did you manage to have children?
    I’m only 28 so i want more children

  11. Dance-a-Holic

    I need help editing my research paper. I’m really bad at papers…..please help!?
    Well, its on lupus. I have the intro and two body paragraphs, and I still need to do the conclusion. So, I was wondering what I should change on my paper, and what I need to add..? I also have to do a powerpoint based on the paper, that should last a minimum of 5 minutes up to 15.

    The reason why I chose this topic was because my dad has lupus, and I wanted to know more about the topic. He was diagnosed with lupus when he was about fourteen years old. He still receives treatment for it by going in for blood tests and taking medication He has the most common form of lupus, Systemic Lupus Erythematosus (SLE), in which causes the antibodies to react against his own normal tissue. He has arthritis and joint problems, but nothings wrong with his internal organs. To support my dad and other lupus survivors, my family and I all go to the lupus walk in honor of remembering the people who had lupus that died. The things the audience can expect to read in this paper are the different types of lupus, the symptoms, the treatment and cures.
    Lupus is the result of an unbalanced immune system that can be destructive to any organ in the body. It can be categorized into three groups: discoid lupus Erythematosus, systemic lupus Erythematosus, and drug-induced systemic lupus Erythematosus. DLE is always limited to the skin and is identified by a rash that may appear on the face, neck, and scalp. It can evolve into the systemic form, which can affect any organ or system of the body. Systemic lupus Erythematosus is more severe than discoid lupus and can affect almost any organ or organ system of the body. No two people with SLE will have identical symptoms. Drug-induced systemic Lupus Erythematosus occurs after the use of certain prescribed drugs. It is more common in men, because the drugs are given to them more often.
    Lupus is hard to diagnose because it has a wide range of symptoms involving various parts of the body; and symptoms differ from each person. Most people develop painful joints and a rash, but lupus may also cause fatigue, depressions, and kidney problems. The treatment of lupus varies from person to person because each person has different symptoms. Most people with SLE require a regular blood test to check for lupus flares. Medication is the primary medical treatment for lupus. Presently, there are no other methods available to treat lupus because there is nothing else that can have the necessary impact on the immune system. Currently, there is no cure for lupus, but with early diagnosis and proper medical treatment it can significantly help control the disease.

    thanks. it would be much appreciated!!!!

  12. serialmom12

    What types of test determine if a person has Lupus?
    I have very congested lungs, a rash on my stomach that won’t heal after over a year of trying various treatments and stiff joints

    1. whoknows

      There really is no one test that is going to comeback and tell a doc you do or don’t have Lupus. They get to a lupus diagnosis by performing many tests to detect physical changes within your body.

      Routine Blood Tests

      Urine Tests

      Antibodies

      Other Blood Tests.

      Blood Clotting Time Tests

      Tissue Biopsies

  13. Michael R

    A lupus rash does’nt go away on it’s own does it?!?
    Does anybody have any info about lupus rash treatment?! Yhank you and have happy New year!!!

    1. Linda R

      Lupus rash does not go away on its own. You need to see a dermatologist who is knowledgeable about lupus.

      Stay out of the sun. When the sun strikes the skin, it alters the DNA at the surface. In lupus people, we make anitbodies to this altered DNA which causes inflammation=rash.

      Stress makes it worse.

  14. Misty Snow

    What is the best treatment for Lupus Rash?
    My Dr. keeps prescribing different medications, mostly steroid creams for my rash I get from Lupus. None of them seem to work long term, though they all seem to work at first. What is the best medication?

  15. girlsincamelot

    What do all these symptoms mean?
    About 3 months ago I developed a rash of severe symptoms. It started with gaining an astounding 15 pounds in 10-14 days. Within a couple of weeks I also suddenly developed these symptoms:

    intense heartburn and stomach pain
    intense neck/shoulder pain

    followed by other symptoms like:
    knee, hip and ankle joints are sore
    back of my knee swollen and sore
    heart palpitations
    previously healed tendonitis (in wrists in particular) returning
    intense dreams and interrupted sleep
    poor memory
    near constant thirst
    constant boredom
    and continuing to gain weight 4-5 pounds at a time usually within a day every week or two

    I was going for accupuncture treatments for my neck and it provided some relief for about 3-4 days after each treatment, but they are now closed for a few weeks. They believed I had stagnant or a deficiency of chi (energy).

    I also have gone to walk-in clinics about my neck and am on baclofen for it but the pain has not really subsided.

    I also have been told to take maximum strength zantac for the next 3 months then they can see what’s going on with my tummy troubles.

    But things keep getting worse. !!!

    From what I’ve looked up. Several symptoms can be classed into water retention. Several can be classed into depression. Several into Lupus. Many into candida (yeast) overpopulation. And most into a chi problem. Is this one big problem or am I coming down with a million things at once that are unrelated?

    Does anyone have any insight? The docs don’t want to hear about anymore than one symptom at a time.

  16. screamingfreedom

    I agree with the above. See your doctor. Lupus can only be diagnosed by a doctor not a discussion group. Whether it is lupus or some thing else you want to catch it early.

    Most of your symptoms are not consistent with lupus. To be diagnosed with lupus you need to match at least 4 of the symptoms.
    * Butterfly rash
    * Discoid rash
    * Photosensitivity
    * Mouth ulcers
    * Arthritis
    * Inflammation of the lining of the lungs or the lining around the heart
    * Kidney damage, as noted by the presence of protein or other abnormal substances called casts in the urine
    * Seizures or psychosis
    * The presence of certain types of anemia and low counts of particular white blood cells
    * The presence of certain immune cells, anti-DNA antibodies, or a falsely positive test for syphilis
    * The presence of antinuclear antibodies.

    From your list I see 2 that match.

    Any way you should not feel the way you do, so you need to see your doctor and find out what is going on.

  17. Eden*

    I agree with Brian. Rumours and hearsay with a desire to hurt and dismantle someone is pernicious. And as you said once in another post, useless to defend yourself when a person’s mindset is immovable.
    I can understand the Lupus rash for obvious reasons, although it was the one thing my daughter was never afflicted with severely, now and then she did have patches of dry skin that turned red and brown and were very painful and as a result she never wore dresses or skirts in the summertime so if Michael wore a glove to try and disguise his condition why does anyone have a problem with that?
    He’s going to be judged no matter what facts come out to the contrary sadly

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