Have Systemic Lupus Erymthimitosis And Kidney Disease. Have Itchy Pimples On Face And Neck, Swollen Legs And Feverish
Rash is because of Lupus flare.
Detailed Answer:
Dear Madam,
Thank you for sharing your concern here.
Well, SLE is known to cause rash on face especially on the butterfly area including cheeks and nose. Though they are the common location for rash development, it can involve every region specially that is exposed to sunlight. Your kidney disease may also result due to Lupus Nephritis that has led to decreased renal functions .
In this situation, it is advisable to you to consult a rheumatologist as may be you would require admission for this in hospital. Fever, back pain are all worse signs and require evaluation at the earliest. I usually admit my patients with similar symptoms for detailed evaluation. Your blood count, urine routine, urine 24 hour protein, ESR, CRP, Anti ds DNA levels need to be checked. Since topical steroid preparation have not be useful, you will require systemic therapy to control the symptom. Topical ointment may not be able to bring any relief in this situation. Kindly seek medical care at the earliest.
I hope your insurance allows for hospital admission. If not, discuss with your current treating doctor and start the process of evaluation as an out patient.
Wish you good health .
Dr. Shruti
It is not a cosmetic problem.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
I can understand your situation but I would like to tell you that you should not just be worried about rash, the worrisome thing is disease activity flare . The rash will subside if the disease activity gets under control .
No antibiotic cream will bring any relief to your rash . New rashes means that the disease is getting active . Kindly seek medical advise at earliest .
Take care.
Dr. Shruti