Topic: red butterfly rash on face in the morning??
randibear
Honored Contributor (10K+ posts)
Member # 11290
posted
I've had this symptom for a long time but was wondering if it's lyme or something else. My face is generally red in the morning but sometimes I notice it's specifically on my upper cheeks and across my nose. Butterfly rash would be an accurate description I think.
Is this lyme also or some other co-infec?
-------------------- do not look back when the only course is forward Posts: 12262 | From texas | Registered: Mar 2007
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tdtid
Frequent Contributor (1K+ posts)
Member # 10276
posted
I don't have an answer to your question, but was going to say that before my diagnosis of Lyme, I was getting what they called this "butterfly rash" quite consistently, which is why they kept thinking I had lupus.
I've been on abx for 19 months now for lyme, bart and babs and haven't had that rash in ages. I was going through spells when it would come back pretty hard, which I assumed was part of my herxing since I was loaded with other symptoms at the same time.
So although I don't know which aspect of the lyme is responsible for that, I do know they definitely seem connected. Hopefully someone out there will be able to break it down as to which aspect it could be related to.
Good luck to you. Mine was getting so bad for awhile that I'd end up with almost like a scab although it was NEVER itchy.
Cathy
-------------------- "To Dream The Impossible Dream" Man of La Mancha Posts: 2638 | From New Hampshire | Registered: Oct 2006
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kelmo
Frequent Contributor (1K+ posts)
Member # 8797
posted
Could be rozacea, but sometimes it's a lupus symptom.
Posts: 2903 | From AZ | Registered: Feb 2006
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
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Butterfly rash is a diagnostic tool for one type of lupus (there are two types, one does not get the rash).
However, it can mimic.
A rash could also be an indication of one of many kinds of porphryia or simple too many porphyrins for some reason.
What does your doctor say? A change in medicine might be suggested.
Division of Rheumatology, Department of Medicine, National University Hospital, Singapore. [email protected]
Drug-induced lupus erythematosus (DILE) is a lupus-like illness that has been recognized as an entity under environmentally-induced lupus erythematosus, where other agents such as physical (ultra-violet irradiation), chemical (heavy metals, aromatic amines) and food products (alfalfa sprouts) have been implicated.
DILE has been accepted as a side effect of therapy with over 80 drugs since its first description in association with sulfadiazine in 1945.
The epidemiology and clinical course of SLE and DILE differ markedly and prognosis is generally favourable in the latter although occasional life-threatening cases have been reported in the literature.
Constant pharmacovigilance is crucial for prompt diagnosis and cessation of offending therapy offers the best outcome.
This review discusses the clinical presentation, diagnosis of DILE as well as provides an update on postulated pathogenic mechanisms and an overview of implicated drugs.
Department of Medicine, Women Medical College, DHQ Teaching Hospital, Abbottabad, Pakistan.
A remarkable spectrum of clinical expressions of cutaneous leishmaniases is observed in humans ranging from nodular, hyperkeratotic, sporotrichoid, erysipeloid, zosteriform, eczematoid, warty, impetiginized and lupoid forms.
Uncommon forms may also be observed.
This case describes a 55-year-old lady who apparently looked liked offering from systemic lupus erythematosis due to butterfly distribution of a rash on face.
She was misdiagnosed till laboratory tests including histopathology revealed that her lesion was due to cutaneous leishmaniases.
Due to cosmetically sensitive site, treatment was started with antimonials and she improved considerably in 3 weeks with diminution in swelling and rubescence.
Lots of people including duck docs think if you have a butterfly rash it can only be Lupus. Not true.
Posts: 649 | From United States | Registered: Dec 2003
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