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I don't know about the others but when they first thought that I had Lupus I did not have the butterfly rash, I did not get that until about 6 months later. It was really strange because when I did not have the rash my tests were negative and then all of a sudden I got the rash and then my test results became positive. But the thing is that just because you do not have the rash does not mean that you don't have the disease. Take Care Laurie:wink2: