Does everyone with lupus have a butterfly rash?

The most distinctive sign of lupus — a facial rash that resembles the wings of a butterfly unfolding across both cheeks — occurs in many but not all cases of lupus.
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Can you have lupus without the butterfly rash?

Is a butterfly rash a definite indicator of lupus or can you have a butterfly rash and not have lupus? While the butterfly rash (also called a malar rash or lupus rash) is one of the most commonly known symptoms people associate with lupus, it does not need to be present to be diagnosed with lupus.
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Does all lupus have butterfly rash?

About half of all lupus patients experience a characteristic rash called the malar or “butterfly” rash that may occur spontaneously or after exposure to the sun. This rash is so-named because it resembles a butterfly, spanning the width of the face and covering both cheeks and the bridge of the nose.
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Can you have lupus and not know it?

Many people with lupus do not receive a diagnosis straight away because it can mimic other conditions, including fibromyalgia, rheumatoid arthritis, and various others that affect the same organ systems. Virtually any symptom of illness or inflammation can signal lupus.
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Can you have lupus and not have skin problems?

Discoid cutaneous lupus

In some cases, you may not experience any symptoms. Most often, symptoms will develop on your face, ears or scalp. However, you can develop symptoms on other parts of your body too.
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Lupus Signs



Can lupus butterfly rash be mild?

Lupus facial rash

A typical sign of lupus is a red, butterfly-shaped rash over your cheeks and nose, often following exposure to sunlight. No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent.
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What were your first signs of lupus?

Fatigue, fever, joint pain and weight changes are usually the first signs of lupus. Some adults may have a period of SLE symptoms known as flares, which may occur frequently, sometimes even years apart and resolve at other times—called remission. Other symptoms include: Sun sensitivity.
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What are the top 10 signs of lupus?

Top 10 Most Common Lupus Symptoms Include:
  • Achy or swollen joints (arthralgia)
  • Unexplained fever (more than 100° F)
  • Swollen joints (arthritis)
  • Prolonged or extreme fatigue.
  • Skin rash, including a butterfly-shaped rash across the cheeks and nose.
  • Pain in the chest when breathing deeply (pleurisy)
  • Hair loss.
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What does Mild lupus look like?

Skin rash or lesions

One of the most visible symptoms of lupus is a butterfly-shaped rash that appears over the bridge of the nose and on both cheeks. About 50 percent of people with lupus have this rash. It can occur suddenly or appear after exposure to sunlight. Sometimes the rash appears just before a flare-up.
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What does the beginning of a lupus rash look like?

A lupus rash can appear in the following ways: A scaly, butterfly-shaped rash that covers both your cheeks and the bridge of your nose, This rash will not leave any scarring in its wake, but you may notice some skin discoloration such as dark or light-colored areas. Red, ring-shaped lesions that do not itch or scar.
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How do I know if my rash is lupus?

A tell-tale sign of lupus is a butterfly-shaped rash across the cheeks and bridge of the nose. Other common skin problems include sensitivity to the sun with flaky, red spots or a scaly, purple rash on various parts of the body, including the face, neck, and arms.
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Does lupus make your stomach swell?

Lupus and the abdomen

Lupus can also cause other problems in the abdomen, including peritonitis (inflammation of the abdominal lining) and ascites (a build-up of fluids in the abdomen). Symptoms of peritonitis and ascites include: Abdominal pain and swelling.
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Can you have mild lupus?

If your symptoms of systemic lupus erythematosus (SLE) are mild or well-controlled, you may find it barely affects your day-to-day life and that you do not have any complications. However, for some people, SLE can be a more serious condition that can cause life-threatening complications.
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Can you still have lupus with normal blood work?

Dr. Michael Lockshin: The diagnosis of lupus is never made by blood test alone, since some people have positive blood tests but no disease. To make a diagnosis of lupus, you need to have both symptoms and, generally, positive blood tests.
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Can you have a negative ANA and still have lupus?

Most people with lupus will have a positive ANA test result. It is very rare, but it is possible to have a negative ANA test and still have lupus. In these instances, other antibodies are present.
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How does a person with lupus feel?

Having lupus can make everyday life challenging. When your lupus is active, symptoms like joint stiffness, pain, fatigue, confusion, or depression can make simple tasks difficult — and sometimes impossible. Since these symptoms aren't visible, the people around you may have trouble understanding how you feel.
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What foods trigger lupus flare ups?

Alfalfa and garlic are two foods that probably shouldn't be on your dinner plate if you have lupus. Alfalfa sprouts contain an amino acid called L-canavanine. Garlic contains allicin, ajoene, and thiosulfinates, which can send your immune system into overdrive and flare up your lupus symptoms.
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Does lupus make you smell?

Surprisingly, an impairment in smell may be an important manifestation in systemic lupus erythematosus (SLE). Indeed, the sense of smell may be a clue to what is going wrong in the patient's nervous system, pointing to a new line of brain research to understand pathogenesis.
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Does lupus cause weight gain?

Muscle pain — Muscle pain or tenderness is common in people with lupus; rarely, some people also notice muscle weakness. Weight changes — Lupus can sometimes cause weight loss or weight gain.
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What does lupus do to your hair?

Lupus causes widespread inflammation that usually involves your skin — particularly on your face and scalp. Lupus can cause the hair on your scalp to gradually thin out, although a few people lose clumps of hair. Loss of eyebrow, eyelash, beard and body hair also is possible.
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Who typically gets lupus?

Anyone can get lupus; however, women get the disease about nine times more often than men. Most often it happens in people between ages 15 and 45 years, but lupus can occur in childhood or later in life as well.
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Is dry eyes a symptom of lupus?

Lupus can damage tear glands, tear ducts, and the mucosal tissues that help lubricate the eye. This can lead to a condition called keratoconjunctivitis sicca , also known as dry eye syndrome. Dry eye syndrome causes a persistent gritty sensation in the eye or under the eyelid.
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How hard is it to get diagnosed with lupus?

Diagnosing lupus is difficult because signs and symptoms vary considerably from person to person. Signs and symptoms of lupus may change over time and overlap with those of many other disorders. No one test can diagnose lupus.
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What are the 4 types of lupus?

But there are four kinds of lupus:
  • Systemic lupus erythematosus (SLE), the most common form of lupus.
  • Cutaneous lupus, a form of lupus that is limited to the skin.
  • Drug-induced lupus, a lupus-like disease caused by certain prescription drugs.
  • Neonatal lupus, a rare condition that affects infants of women who have lupus.
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