Many people with lupus experience a red or purplish rash that extends from the bridge of the nose over to the cheeks in a shape that resembles that of a butterfly. The rash may be smooth, or it may have a scaly or bumpy texture. It can look like a sunburn. The medical term for this type of rash is a malar rash.
Chronic cutaneous lupus (also called discoid lupus) causes round, disc-shaped sores, usually on the face and scalp. The sores can cause scars or changes in skin color. Subacute cutaneous lupus causes a red scaly rash or red ring-shaped sores. It usually happens on skin that gets sunlight, like the neck and arms.
Specific types of rashes—most notably a red, butterfly-shaped rash that develops over the nose and cheeks. Mouth sores. Sensitivity to light or sun. Inflammation in the brain, heart, lungs, kidneys, joints, skin, or blood vessels.
As a result, people with lupus are frequently misdiagnosed with rheumatoid arthritis, fibromyalgia, chronic fatigue, skin disorders, psychological disorders such as anxiety and depression or receive no answers at all.
Symptoms of cutaneous lupus can flare up following exposure to ultraviolet (UV) rays. These rays are in both the sun and fluorescent lights. Lupus skin lesions are very sensitive to light. Some medications (including over-the-counter drugs for acid reflux) can also cause a flare of skin lupus.
Chronic Cutaneous Lupus
“Discoid” refers to the round shape of the sores or lesions that develop. These are thick, raised, scaly patches that are often pink and may flake or form a crust on the surface of the skin. Lesions most often appear on the face, ears, scalp, neck, and hands.
Lupus is a chronic inflammatory autoimmune disease with a wide range of clinical presentations resulting from its effect on multiple organ systems. There are four main types of lupus: neonatal, discoid, drug-induced, and systemic lupus erythematosus (SLE), the type that affects the majority of patients.
Common symptoms include fatigue, hair loss, sun sensitivity, painful and swollen joints, unexplained fever, skin rashes, and kidney problems. There is no one test for SLE. Usually, your doctor will ask you about your family and personal medical history and your symptoms. Your doctor will also do some laboratory tests.
A tell-tale sign of lupus is a butterfly-shaped rash across the cheeks and bridge of the nose. Other common skin problems include sensitivity to the sun with flaky, red spots or a scaly, purple rash on various parts of the body, including the face, neck, and arms. Some people also develop mouth sores.
Anti-Nuclear Antibody (ANA) Test. Anti-nuclear antibodies (ANA) are autoantibodies to the nuclei of your cells. 98% of all people with systemic lupus have a positive ANA test, making it the most sensitive diagnostic test for confirming diagnosis of the disease.
No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and physical examination findings leads to the diagnosis.
With close follow-up and treatment, 80-90% of people with lupus can expect to live a normal life span. It is true that medical science has not yet developed a method for curing lupus, and some people do die from the disease. However, for the majority of people living with the disease today, it will not be fatal.
For example, untreated lupus can lead to blood disorders such as anemia or thrombosis. Other potential serious complications include: Chronic digestive distress that could include difficulty swallowing, dry mouth, indigestion, intestinal inflammation, liver enlargement, or pain when vomiting or feeling nauseous.
For some people, living with and managing lupus can cause weight gain. Weight gain may also lead to worsening lupus symptoms and complications associated with obesity. Some potential causes of weight gain that relate to lupus may include: being a side effect of medications such as corticosteroids.
Your doctor will look for rashes and other signs that something is wrong. Blood and urine tests. The antinuclear antibody (ANA) test can show if your immune system is more likely to make the autoantibodies of lupus. Most people with lupus test positive for ANA.
Lupus symptoms can also be unclear, can come and go, and can change. On average, it takes nearly six years for people with lupus to be diagnosed, from the time they first notice their lupus symptoms.
Rashes that develop on the face and upper arms after exposure to sunlight, unexplained fevers, and painful, swollen, or stiff joints are all common lupus symptoms — and are symptoms you should tell your doctor about, says Neil Kramer, MD, a rheumatologist at the Institute for Rheumatic and Autoimmune Diseases at ...
Kidneys About one half of people with lupus experience kidney involvement, and the kidney has become the most extensively studied organ affected by lupus.
The seriousness of SLE can range from mild to life-threatening. The disease should be treated by a doctor or a team of doctors who specialize in care of SLE patients. People with lupus that get proper medical care, preventive care, and education can significantly improve function and quality of life.