The butterfly rash may appear on its own but some people observe that the appearance of the malar rash indicates an oncoming disease flare. I would call it slapped face because its BRIGHT pink and hot- looks like someone slapped the crap out of my face.
A Closer Look At Lupus Pictures
Aside from its signature shape its usually identified by its color and texture.

What does the lupus malar rash feel like. It usually shows up in response to UV light exposure but not always. It appears by the malar area of. I too use Elidel and I also use an antifungal called Fazol.
The malar rash is a localized symptom of acute cutaneous lupus erythematosus ACLE a type of cutaneous lupus that is often triggered by sunlight is transient or temporary and non-scarring. Acute cutaneous lupus lesions or rashes happen when systemic lupus is active according to the Lupus Foundation of America. What does a lupus rash look like.
Skin disease in lupus can cause rashes or sores lesions most of which will appear on sun-exposed areas such as the face ears neck arms and legs. Butterfly Rash A tell-tale sign of lupus is a butterfly-shaped rash across the cheeks and bridge of the nose. It is not an itchy rash but there may be some discomfort from the cracking skin on the face.
When I had mine at its worst it was very red and noticeable across my nose and cheeks slightly bumpy and not really flaky. The malar rash of lupus is often red or purple and may feel like scales on the face. It can appear as patches across your body.
There may be pain in the kidney which is one of the lupus Malar Rash symptoms. It was quite sensitive and hot to touch and make up didnt cover it much then but was prescribed a mild steroidal cream which helped just to dampen down the inflammation. Your symptoms sound typical of a malar rash.
When it heals it can leave behind scarring and can also change the pigmentation of the skin in the area affected making the areas look either darker or lighter than skin surrounding the lupus rash areas. No color and no itch or anything with it. The rash comes around the time of mid cycle most commonly and is raised rough and pink to purple but looks nothing like the malar rashes I have seen online.
The rash is characterized by a symmetrical fixed erythematous maculopapular lesion with slight scale occurring over both cheeks and nose sparing the nasolabial folds Figs 311 312. The rash is typically transient lasting from days to weeks associated with occasional symptoms of pain and pruritus Luzar and Calonje 2012. It can be a slight blush or an intense red or even purplish and scaly.
Right above it theres another rash thats more sparse and pink raised bumps and not associated with any heat sun exposure. It covers your cheeks and the bridge of your nose but usually not the rest of the face. This rash usually appears on parts of the body that are exposed to sun such as the arms.
Looking at your rash it does look sore and uncomfortable lupus butterfly rashmalar rash does tend not to be on the nasal folds it does look a bit like rosella rash. However chronic malar rash is said to be painless without any sensation whatsoever. My malar rash is almost always there to varying degrees.
Malar rash can be flat or appear raised and while it may be itchy and feel hot it is not painful. Also known as the malar rash the butterfly rash is actually one of several skin concerns associated with lupus. Also called a butterfly rash a malar rash appears across the bridge of the nose and on the cheeks.
A dermatologist a physician who specializes in caring for the skin should treat lupus skin rashes and lesions. Lupus rashes may become worse after exposure to sunlight. Fever An affected person may also suffer from higher body temperatures because of this condition.
Malar rash is a red or purplish facial rash with a butterfly pattern. Between the two the rash seems to go away. But might be wrong I think you should request your doctor to refer you to a dermatologist they would be best at diagnosing your facial rash.
The rash can be flat or raised. In people with subacute cutaneous lupus SCLE the rash looks like scaly red patches or ring shapes. The malar rash appears red elevated and sometimes scaly and can be distinguished from other rashes because it spares the nasal folds the spaces just under each side of your nose.
Many lupus patients have it but not all. This facial rash is also known as a butterfly rash for the shape it takes on the face.
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