Our website services, content, and products are for informational purposes only. Like you, Ive had little training in dermatology; most of what I know was learned on the job and through continuing education. But while a rosacea rash may look like lupus, the difference is that a lupus rash doesn't have red bumps that are typical of rosacea, although the rash can be raised. Slightly raised, expanding rings. utis? To learn more, please visit our, It would be very easy for a dermatologist to tell you if you have. Damage, such as scarring, hair loss, and lighter and darker skin, could be permanent in . As many as 40 percent of all people with lupus and up to one-third of all children with lupus will develop kidney-related complications, according to the Lupus Foundation of America. both enjoyable and insightful. If you have symptoms, tell your dermatologist. Morales-Burgos A, Snchez JL, et al. Some rashes can scar. The eruption can be differentiated from tinea by its lack of scale and distinctive migrating course. Its a symptom that you want to have evaluated, but it doesnt mean you have lupus.. Researchers are still learning why, but treatments are similar across. Reviewed by: Discoid lupus causes raised, scaly patches. All rights reserved. Sometimes hair loss may be permanent. There are different types of lupus, each of which cause different symptoms. Lupus vs ringworm Cause: The exact cause behind lupus is not clear, Genetics, environmental factors and the immune system may play a role in it. Diseases Resulting From Fungi and Yeasts. A clear or scaly area inside the ring, perhaps with a scattering of bumps whose color ranges from red on white skin to reddish, purplish, brown or gray on black and brown skin. Dermatophyte infections, mimickers, and treatment options. For small, localized lesions, potent topical corticosteroids and vitamin D derivatives in creams, lotions, or ointments can be used.32 When plaques persist, intralesional injections of triamcinolone can be tried.32 Another commonly used, cost-effective modality is phototherapy.32 When the disease is severe or widespread, biologic and oral immunosuppressive agents are options. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. ENT. As the kidneys are damaged, fluid begins to build up in the body. Because less blood can travel from the heart to the lungs to pick up oxygen, the heart has to work much harder to keep up. It looks like ringworm and usually appears on the torso. Steroid creams and other treatments help. Chronic urticaria almost always occurs in adults and often does not have an obvious trigger.20 The eruption is composed of wheals, well-defined superficial swellings of the dermis that are characterized by raised, erythematous papules or plaques surrounded by a red flare.21 (See Figure 4.) Sharply demarcated red to pink to brown patches or thin plaques with greasy scale. How do the rashes associated with annular lichen planus and subacute cutaneous lupus differ in appearance? Lichen planus (LP) is an idiopathic, inflammatory disease of the skin and mucus membranes that primarily affects middle-aged adults.23 Mediated by T-lymphocytes, the reaction can be triggered by medications, vaccinations, or viral infections, especially hepatitis C.24 The eruption begins as small, pinpoint papules that expand into plaques that are classically shiny, violaceous, and polygonal-shaped.25 Wickham striae, a diffuse network of white streaking, can be seen embedded throughout the surface.23 Lesions commonly are found on the dorsal hands, flexor wrists, forearms, shins, vulva, and glans penis, but also can be seen in the mouth.23 When lesions are present on the body, patients may be asymptomatic or complain of intense pruritus. Its a very common manifestation thats not specific for lupus; it can occur in many different autoimmune diseases, she says. Most cases occur on the feet, hands, and buttocks where larvae can penetrate the skin easily.28 Shortly after infection, patients experience intense pruritus localized to the area of inoculation. Learn how we can help 5.9k views Reviewed >2 years ago Thank Dr. PHILIP WALLER and another doctor agree Some people get blisters. EM often is confused with large urticarial lesions. Establishing a broad differential and focusing on key morphological characteristics will improve accuracy of diagnosis, limit unnecessary treatment, and lead to faster resolution of disease. She says learning to cope with the emotional toll of the chronic condition has been the hardest A chronic condition like lupus introduces a lot of stressors to ones everyday routines. This patient developed a lupus rash after spending time under fluorescent lighting. Symptoms tend to start about four to 14 days after exposure to the fungus that causes the infection. Itchiness. Calluses, common warts, and other benign conditions can all cause hard. When you have subacute cutaneous lupus, red borders develop around the edges of these lesions. Most types of lupus are best managed with medication and lifestyle changes. Suh KS, Park JB, Yang MH, et al. In: Bolognia JL, Schaffer JV, Cerroni L. Perkins J, Buckland M, Miller RA. When will the vaccine be available? During a first-time flare, this rash can resemble ringworm. Can begin with a herald patch, followed by a diffuse eruption involving the trunk and proximal extremities. If you have ringworm, common symptoms include: A circular or ring-like rash that may be raised along the edges A rash that may be scaly, itchy, red, or burning Hair loss in the area where the rash has appeared The rash may develop several red, raised rings at once, some of which may overlap. These lesions can result from a reaction to certain medications. It doesnt mean that all their hair comes out. Instead of developing a rash that looks like eczema or psoriasis, some people with this type of cutaneous lupus get a ring-like rash from the sun. Elewski BE, et al. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. This autoimmune disease may impact your skin, nails, and hair. Lupus can make your skin extremely sensitive to sunlight and other types of light. The first kind is peritubular capillary changes, which are vascular changes in the little blood vessels around the nails," notes Stojan. my dr ruled out bacteria infection and cold sores. Types of CLE include: Discoid lupus erythematosus (DLE) is the most common form of CLE. Anemia is very common in people with lupus. Topical, intralesional, or oral corticosteroids. can sjogren's or another autoimmune cause rashes and itchiness? Tinea is classically more erythematous and scaly than LP, while lesions of GA are less numerous and have smooth borders. ( 8) Other. Your healthcare provider can help you find the best treatments to prevent and treat lupus rashes. Do you know which one? Common Risk Factors and More, 8 New Things Weve Learned About Lupus in the Past Year, What Managing Lupus for 2 Decades Taught Me About Taking Care of Myself, Lupus, Emotional Stress, and Depression: What You Need to Know, 12 Things People With Lupus Should Know About the COVID-19 Vaccine. Find out how a board-certified dermatologist helped Natalie see clear skin before her wedding. Consider one of the subscription options below to receive full access to this article and many more. Early, localized lesions can be treated with topical thiabendazole. Images 2-5 and 8-11: Used with permission of theAmerican Academy of Dermatology National Library of Dermatologic Teaching Slides. By using our website, you consent to our use of cookies. (n.d.), How does lupus affect the renal (kidney) system? caseating epithelioid granulomas.7 In newly diagnosed cases, a chest X-ray is warranted and, if abnormal, patients should be referred for pulmonary evaluation.9, Treating the underlying systemic disease often clears cutaneous lesions.9 Limited cutaneous eruptions can be treated with intralesional triamcinolone.9 Systemic corticosteroids are effective but generally are reserved for active pulmonary, ocular, cardiac, and central nervous system involvement or when skin disease is widespread.9, Seborrheic dermatitis is a common, chronic dermatosis present in up to 5% of the population.32 The pathogenesis has been linked to the overproduction of sebum and Malassezia yeasts. Ringworm, also called tinea, is a fungal infection that people with leukemia may be more prone to developing. You have reached your article limit for the month. There are many rashes from lupus but people with lupus can also get rashes that ar. Apply a broad-spectrum, SPF 30 sunscreen daily even when indoors. Scalp ringworm ( tinea capitis): This causes scaly, red, itchy bald spots on your scalp. This article interested me because it broadened my awareness about this type of rash. One way to make that diagnosis is through a biopsy, in which a doctor takes a tissue sample and examines it under a microscope. Knowing what to watch out for detailed below can help you manage and treat these conditions. Discoid lupus can cause sores inside the mouth. Learning more about lupus can also be helpful. Put up UV-protective window coverings at home and work. For DSR inquiries or complaints, please reach out to Wes Vaux, Data Privacy Officer, Learn more, EPA Moving to Reduce Cancer Risk to HCWs Exposed to EtO Sterilant, The Vanishing Nurse: Staff, Patients in Peril, CDC: Be Wary of Travelers From African Outbreaks, Healthcare Workers Not Likely Infected, Colonized with C. auris, Tough Love: Returning Injured Workers to Full Duty, Karl Kellawan, MD, Forefront Dermatology, Centerville, OH, Wyatt Andrasik, BS, Treating a scaly patch of discoid lupus on the scalp before it scars (A) can prevent permanent hair loss (B). Learn about symptoms, causes, risk factors, treatments, and, If you have lupus, stress can trigger a symptom flare. Policy. The medical term for this type of rash is a malar rash . Some people with lupus have another problem with their blood. van de Kerkhof PCM, Nestle FO. Lupus can also affect the skin and cause a rash or other kinds of skin changes. Peroni A, Colato C, Schena D, Girolomoni G. Urticarial lesions: If not urticaria, what else? It has a lot of mimics, or other conditions that can appear to be butterfly rash, so it needs to be distinguished from those, says Stojan. Learn more about how stress affects people with lupus and how stress management techniques can. Jock itch, known as tinea cruris, refers to ringworm infection of the skin around the groin, inner thighs, and buttocks. It can look like a sunburn. Some lesions might look like ringworm with rough, red patches. Lupus can also weaken muscles, especially in the pelvis, thighs, shoulders, and upper arms. Granuloma annulare (gran-u-LOW-muh an-u-LAR-e) is a skin condition that causes a raised rash or bumps in a ring pattern. Therefore, referral to a dermatologist is appropriate. Can have annular lesions. J Am Acad Dermatol 2010;62:667-71. Ultraviolet light exposure can bring on lupus skin rashes or make them worse. Retrieved from, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, lupus.org/webmodules/webarticlesnet/templates/new_learnaffects.aspx?articleid=2269&zoneid=526, lupus.org/answers/entry/lupus-and-the-heart, lupus.org/answers/entry/joint-muscle-pain-in-lupus, lupus.org/answers/entry/lupus-and-the-nervous-system, lupus.org/webmodules/webarticlesnet/templates/new_aboutintroduction.aspx?articleid=100&zoneid=9, lupus.org/answers/entry/how-lupus-affects-skin, hopkinslupus.org/lupus-info/lupus-affects-body/lupus-lungs/, lupus.org/webmodules/webarticlesnet/templates/new_learnunderstanding.aspx?articleid=2235&zoneid=523, nhlbi.nih.gov/health/health-topics/topics/ha/causes.html, lupus.org/webmodules/webarticlesnet/templates/new_learnunderstanding.aspx?articleid=2232&zoneid=523, Joint Pain in Lupus: Why, Where, and How to Manage. A small subset of patients will experience a prodrome of headache, fever, and generalized malaise days to weeks prior to the initial outbreak.13. As mentioned earlier, individual lesions should not last longer than 24 hours, although an attack may last much longer.21 If lesions persist beyond 24 hours, other causes must be considered and a biopsy may be warranted.22 If food is a suspected trigger, a food diary may be helpful. Image 1: Used with permission of theJournal of the American Academy of Dermatology. Wieczorek IT, Propert KJ, Okawa J, et al. What Is Lupus? Bites, stings, and outdoor rashes Many insects can cause a. Favors the trunk and proximal extremities. There are different rashes associated with lupus and many don't itch, but some do. Eventually, tracts can coalesce to form annular or ring-shaped lesions. The advancing border is raised and may contain vesicles, pustules, or papules.4 Typically, infection begins unilaterally and extends to the medial thighs, perineum, and anus, sparing the scrotum.5 Tinea cruris commonly is found in conjunction with tinea pedis and/or tinea unguium, as the fungus is spread from the infected foot to the groin when clothing is pulled to the waist.2, For localized tinea corporis or cruris, pedis, and faciei, topical antifungals, such as imidazoles (clotrimazole, miconazole, ketoconazole, econazole, oxiconazole, sulconazole) or allylamines (naftifine, terbinafine), should be used once to twice daily for two to six weeks, including two weeks following clearance.2,6 Nystatin, commonly used to treat Candida infections, should not be used to treat tinea.3, Granuloma annulare (GA) is a relatively common, self-limiting disorder of the dermis that affects women twice as often as men.7 The eruption has a predilection for young adults and children, with most cases presenting before the third decade of life.1,7 Although the etiology remains unknown, GA is controversially associated with diabetes mellitus and hyperlipidemia.8 Several clinical variants of GA exist; however, localized disease primarily affects the dorsal surfaces of the fingers, hands, elbows, feet, and ankles.1,7 Lesions are characterized by asymptomatic, erythematous to violaceus colored papules or plaques with a thin, smooth border.9 Lesions develop slowly, spread peripherally, and involute centrally, conferring an annular appearance.9 An isolated (< 5 cm) lesion on the hand or arm represents most cases.7, Granuloma annulare can be diagnosed clinically by its unique distribution and morphology. (2013, July 12), How does lupus affect the nervous system? Seborrheic dermatitis can cause similar symptoms as scalp . It causes rough, scaly skin to develop on the face and scalp. We look forward to having you as a long-term member of the Relias They'll look for signs of a fungal infection. Dr. Miller reports he is on the speakers bureau for Abbvie and Allergan. This can signal subacute cutaneous lupus. I have lupus & very sensitive skin what kind of sunscreen or block do you recommend or what other things should i do to prevent skin rashes? Raynauds is usually temporary and it gets better when you warm the fingers, says Werth. Discoid lesions on your scalp may cause temporary or permanent hair loss. . Lesions are asymptomatic, measuring up to several centimeters in diameter and having a predilection for the hands, fingers, feet, and ankles.31 When multiple lesions are present, they are almost always unilateral and localized.30, Focusing on the furrowed rim formed by the prominent border and depressed center is key in differentiating the lesion from other annular lesions like tinea. Asymmetric, well-demarcated, erythematous lesion with or without central clearing. People who have lupus often develop symptoms similar to that of the flu. Early in the disease course, a mild flu-like illness consisting of general malaise, fever, headache, nausea, vomiting, arthralgias, myalgias, and photophobia can occur.19 If untreated, the disease can progress over the course of weeks to months, resulting in significant complications such as chronic arthritis, facial nerve palsy, and varying degrees of atrioventricular block.19, Early recognition and accurate diagnosis can prevent progression of disease and subsequent lifelong rheumatologic, neurologic, and cardiac complications. It appears by the malar area of the cheeks around your cheekbones "and it has the shape of a butterfly as it goes across the bridge of the nose, says Dr. Werth. Characteristically anesthetic. James WD, Berger TG, Elston DM. Redness and skin discoloration may take longer to go away. Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. Erythematous annular or polycyclic plaques with a trailing scale inside an erythematous border. Whats the Connection Between Lupus and Anemia? This rash usually appears on parts of the body that are exposed to. If left alone, one half of cases will resolve within two years.8 If treatment is preferred, high-potency topical corticosteroids or intralesional triamcinolone can be used.8,9 Although most cases heal without residual skin findings, recurrence is common regardless of treatment.9, Pityriasis rosea is a common eruption primarily seen in adolescents and young adults.10 The etiology remains unknown, but given its seasonal variation, occurring mostly in the spring and fall, a viral cause is suspected.11 The eruption is aptly named pityriasis, meaning scaly, and rosea, meaning pink. ACLE rashes occur when you have a lupus flare-up. By subscribing you agree to the Terms of Use and Privacy Policy.

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