Symptom 3: Butterfly-Shaped Rash
A distinctive symptom associated primarily with Acute Cutaneous Lupus Erythematosus (ACLE) is the malar rash, more commonly known as a “butterfly rash”. This rash, which spreads over the cheeks and across the nose, resembles the wings of a butterfly, thus the name.
The butterfly rash is usually red, raised, and can feel warm to the touch. It’s not typically itchy, but it can cause a mild burning sensation. For some, this rash might be the first visible sign of lupus, appearing even before a clinical diagnosis is made.
While it’s most commonly associated with systemic lupus, the butterfly rash can also occur in cases of CLE. It can come and go and is often triggered by exposure to sunlight. Just like with other symptoms of CLE, managing this rash involves sun protection and topical treatments to reduce inflammation.
On a psychological level, this symptom can be particularly distressing. The prominence of the rash on the face can affect the individual’s self-esteem and social interactions. Therefore, addressing this symptom and providing the necessary support for those dealing with it is crucial. (3)
