Lupus: Unmasking the Wolf in Sheep’s Clothing

Symptom 3: Skin Rashes – The External Manifestation

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Skin Rashes - The External Manifestation
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Visible evidence of the internal battle, skin rashes are a common manifestation of lupus. Approximately 70% to 80% of lupus patients experience some form of skin involvement during the course of their disease. These rashes are not just a cosmetic concern; they can be itchy, painful, and can significantly impact a person’s self-esteem and quality of life.

The most iconic of these is the malar rash, also known as the “butterfly rash”, due to its unique pattern across the cheeks and nose. It’s a telltale sign, a red flag raising the suspicion of lupus. However, it’s important to note that not everyone with lupus will develop this rash, and not everyone with a malar rash has lupus.

Discoid lupus is another skin manifestation that results in thick, round disc-like lesions. These lesions primarily affect sun-exposed areas and can lead to scarring and changes in skin pigmentation. Sun protection is a crucial aspect of managing skin symptoms in lupus, as ultraviolet (UV) rays can trigger or exacerbate skin rashes.

Topical treatments such as corticosteroid creams, systemic medications, and rigorous sun protection measures form the cornerstone of managing skin rashes in lupus. Understanding the impact of these skin manifestations and addressing them effectively is an essential aspect of comprehensive lupus care. (3)

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