You have had some good informative responses here. The only thing I would add is to make sure you take some photos of that face rash when it flares up. If you do get referred to a dermatologist then you can be sure there will be nothing there to see when you finally get an appointment! I've gone through the frustration of seeing three different dermys at clinic appointments over two years, and only one of them ever seeing the butterfly rash full on. She was the one who was dead sure I had lupus - the others have totally dismissed the idea as they haven't seen it like that. I have now been taking photos so that if I do go back to either dermy or rheumie then I have something to show.