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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Consistent itchy rash on face, circular rash on arms and legs, suspected to be Lupus. Opinion?

Hi, for the past couple of months, I have had a very itchy rash on my face and I am constantly scratching . Some appeared in circles on my arms and legs- then the ones on my arms cleared in the middle and I have rings of rashes on my arms now- even though it is not itching anymore it is not going away. The rash on my face is still very bad- my eyelids and the whole of my cheeks and neck has it and its bright red and itchy. I went to GP and he scared me by saying this may be lupus ( SLE ) even though I have no other symptoms. I don t have another apt till feb and this is so long to wait. Wat is your opinion?
Sat, 5 Jan 2013
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Allergist and Immunologist 's  Response
Hello,
Facial rash made worse by sunlight (i.e., photosensitive) is one of the many ways lupus may present. There are several other features and if you have 4 of 11 criteria (as stipulated by the American Rheumatology Association) then you have lupus.
Photosensitive butterfly shaped rash, kidney problems, brain problems, abnormal blood counts, positive ANA test are some of the other features of lupus.

I would suggest you first get the screening ANA test (antinuclear antibody) done, and if that is positive then the chances of having lupus is increased.

Please note that commoner things such as dry skin (of eczema), fungal infections are commoner that should settle with antifungal creams/moisterizers.

I hope this helps.
Best Wishes.
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Dr. Harmandip Singh's  Response
hello jackienap,
i think these ring like scratch marks are infection of your skin like eczema ,fungal infection.
you can use topical application clotrimazole plus beclamethasone combination .
levocetrizine once daily for itching.
ALSO when you are itching with your finger after that you should wash your hands otherwise on any other place you use finger these scratch marks may appear.
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Consistent itchy rash on face, circular rash on arms and legs, suspected to be Lupus. Opinion?

Hello, Facial rash made worse by sunlight (i.e., photosensitive) is one of the many ways lupus may present. There are several other features and if you have 4 of 11 criteria (as stipulated by the American Rheumatology Association) then you have lupus. Photosensitive butterfly shaped rash, kidney problems, brain problems, abnormal blood counts, positive ANA test are some of the other features of lupus. I would suggest you first get the screening ANA test (antinuclear antibody) done, and if that is positive then the chances of having lupus is increased. Please note that commoner things such as dry skin (of eczema), fungal infections are commoner that should settle with antifungal creams/moisterizers. I hope this helps. Best Wishes.