Hi,
I thought maybe this might be interesting for people not yet diagnosed or with a dubious malar rash....
Today I've been at the dermatologist's for my face.
Whilst oral medication has helped my malar rash, it is anything but cured, so my rheumy sent me to the dermy for advice. He looked and felt very carefully, and has come to the conclusion that I have both a malar rash caused by SLE and rosacia. This actually makes sense to me because the rash spares the nasaolabial folds which is typical of SLE, and also has pustules sometimes - typical of rosacia.
Of course this is a clinical diagnosis (based on observation). He said that he could biopsy to confirm, but since I didn't need it to confirm the SLE diagnosis he wouldn't biopsy as it changes nothing in my situation.
Anyway, what I thought might be useful to those of you wondering which type of facial rash you have is the fact (we don't often hear discussed) that it is perfectly possible to have both at the same time. One diagnosis does not exclude the other.
The treatment for rosacia and lupus are different, so if you are in doubt about your situation and management - get an expert opinion
X C X
I thought maybe this might be interesting for people not yet diagnosed or with a dubious malar rash....
Today I've been at the dermatologist's for my face.
Whilst oral medication has helped my malar rash, it is anything but cured, so my rheumy sent me to the dermy for advice. He looked and felt very carefully, and has come to the conclusion that I have both a malar rash caused by SLE and rosacia. This actually makes sense to me because the rash spares the nasaolabial folds which is typical of SLE, and also has pustules sometimes - typical of rosacia.
Of course this is a clinical diagnosis (based on observation). He said that he could biopsy to confirm, but since I didn't need it to confirm the SLE diagnosis he wouldn't biopsy as it changes nothing in my situation.
Anyway, what I thought might be useful to those of you wondering which type of facial rash you have is the fact (we don't often hear discussed) that it is perfectly possible to have both at the same time. One diagnosis does not exclude the other.
The treatment for rosacia and lupus are different, so if you are in doubt about your situation and management - get an expert opinion
X C X