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.

6 thoughts on “Systemic Lupus Erythematosus Rash On Face

  1. 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!!!!

  2. sunshine_punk

    is this story of mine at all good?! :D?
    I never really had it all you could say. Most kids worried about wearing their brand named clothes, having amazing cars, and having the perfect boyfriend/girlfriend. Personally all i worried about something much bigger. All I want to do is live.
    My life was going great until i hit 14. My parents were constantly fighting, for reason i still don’t know. They were at each other throats. So much, I thought eventually the neighbors would call the police. I had to be like a mom to my sister Lilly, 12 (who was also my best friend), even though she was only 2 years younger then me, since my mom would blame us for all the arguing.
    One morning after 2 agonizing years of hell my dad walked out on us. My mother became depressed. She saw a shrink 2 times a week and hardly got out of bed. and that put an enormous amount of pressure on me.. More then was already set on me. The pain of my dad leaving was pretty awful. After he left, a new burden began to show its ugly face.
    Oh i guess i never really introduced myself properly. My name is Kailey. I’m now 16 years old, and im dying.

    Chapter 1

    “Breathe in and out deeply,” the nurse Sally said as she held a cold stethoscope to my chest. I did as I was told and answered a text message from Mona at the same time.

    “Come over tonight? My mom’s out, and we can cook something strange! bring Lilly along!” -Mona.

    “Yeah sounds great! I have to ask my mom first of course. But you know her. So I will probably be there. What time?” I replied quickly, and put away my phone as the doctor walked in.

    “Hello, Kailey. How are you today?” Dr. Highman asked.
    “Same old. Same old. I havent been having as much axiety attacks lately.” I said checking my phone seeing if the was a new text yet.
    “So, the pills are working then huh?”
    “Yup,” i hiccuped. “Excuse me, but its not a thrill having to add another pill to my daily million of them.” i said sarcastically.
    “I understand, but having Lupus, is a differicult disease to control.” He said while writing something down on his clipboard.
    Lupus is the common name for systemic lupus erythematosus, also called SLE. Common symptoms include feeling very tired and having joint pain or swelling (arthritis), a fever, and a skin rash. Over time, some people with lupus have problems with the heart, lungs, kidneys, blood cells, or nervous system. I have it really bad in my nervous system, my joints, and my lungs and heart. Not to mention, my shortness in breath and how im tired often, and get feverish every once and a while. I guess having it since i was 4 has something to do with all the symtoms.
    I nodded my head in agreement.
    “So hows your mother doing? I noticed she isnt here,” he looked up at the empty chair next to the examination table, “again,” then at me.
    I looked away from his gaze and answered, “Well she doing fine i guess, still doesnt get out much. but im making sue she eats properly and takesher meds. Don;t worry about it doc.” I smiled and looked up at him again.
    “Well that good. dont forget, her appointment is…”
    I cut him off, “Next week on tuesday, I know. I know.” I rolled my eyes, upset that i was 16 already and now had to drive her everywhere.
    He nodded, “Ok. Well, miss. Kailey, you seem to be just fine, just keep up everything your doing. and here are your medication refills.” He scribbled on a peice of paper and handed it to me.
    I looked at it and just slowly nodded.
    “See you next time.” He walked out of the room.
    I sat in the room for a while. I felt my pocket vibrate and took out my phone.

    “hmm, around 5? you guys can spend the night too, if you want.” -Mona.

    “Yeah ok sounds good. just got out of the doctors right now. heading home.” Send.

    I got off the table and walked out of the room. I was heading out the doctores office, but then turned into the restroom. i set my phone on the sink and unzipped my pants and sat down. i didnt even have to go. My eyes felt droopy. I got back up and zipped my pants back up, put my phone in my pocket and turnined on the sink. I washed my hands then rinsed my face. I looked at myself in the mirror for a while. My auburn hair next to my ears were wet from wetting my face. My hazel eyes were bloodshot from my lack of sleep last night. I rinsed my face once more, dried it off and walked out of the restroom.
    I opened the door to my old beat up mustang, and sat down.

    “Oh? how’d it go?” -Mona.

    “Ya know.. The same.” Send.

    “Nothing wrong?” -Mona.

    “Nope everythings A-OK. Well for me anyway. haha” Send.

    “Thats good. =] Are you nervous about starting junior year?” -Mona.

    I started the car and pulled out. I drove just down the road then stopped at a gas station for some snacks.
    I walked in the door and swear everyone stopped and looked at me. But I’m probably just paranoid. i walked around and grabbed a bag of hot fries, a 2 liter coke, a bag of chocolates, and some macrowaveable ravioli’s. Yum, what a lunch.
    I paid

  3. Act4Love

    Should I get tested for Lupus?
    Hi, I’m 16 years old. I’ve been suffering from bumps and redness on my face (cheeks, mostly), and it’s been something which I cannot get rid of. I thought it was just acne. My mom, however, is currently studying to be a nurse, and in her textbook she stumbled upon a picture of the butterfly rash often associated with systemic lupus erythematosus (known as Lupus/SLE). I didn’t think much of it, until my mom and I researched the symptoms.
    These are the symptoms I’m currently experiencing:
    *Extreme fatigue
    *Joint pain (mostly in my knees and ankles)
    *Migraine-like headaches almost every day for the past month
    *Difficulty concentrating
    *Inflamation of organs-last year I was diagnosed with gastreoenteritis.
    *Also, about a week and a half ago my back (around the kidney area) started hurting
    *I thought it was my period, but I have dried up blood that comes out everytime I wipe after urinating.
    *I have virtually no appetite.
    *My vision has been blurred the past few days.
    *The “flares” started about 2 weeks after the fatigue.

    What do you think about it?
    Thank you in advance.

    P.S- The symptoms listed started before I found out about the disease…less chance of psychosomatic diagnosis 🙂

    1. FirstStar

      Yes, you should probably get tested!

      Lupus is an Autoimmune disease, which is caused by both genetic and environmental factors, so, if you have a family history of auto immune diseases (Such as Crohns Disease, Scleroderma, Rheumatoid Arthritis ect…) You are at an increased risk, also if you are female and between 15 to 45.

      It takes awhile to diagnose Lupus, but your doctor will (most likely) refer you to an Internal Medicine Doctor, or may order the test themselves (Blood test! Urine test!) And depending on what the doctor thinks, the blood test will include an ANA (Antinuclear Antibody) test (Very important test!!! if this comes out positive, it could mean Lupus, or another auto-immune disorder!!!)

      Some other blood tests may also include tests for Hep. C, and Hep D, along with a Creatinine test, Bilrubin and Albumin test (Too much to type- Google it!) and ALT test (To see how epic your liver is doing!)

      So YES. Get tested; because like I said, it takes awhile to diagnose because the symptoms mimic so many other diseases; it could take months.

      Good Luck! 🙂

      I’m 17 and had Lupus symptoms too; test results come back in January (Next month!) Hope 4 the best!

Leave a Reply

Your email address will not be published. Required fields are marked *