Lupus is also called systemic lupus erythematosus. It is an autoimmune disorder causing inflammation in the joints, kidneys, skin, heart, and lungs. The symptoms are butterfly-shaped rashes on the skin, mouth ulcers, arthritis, and seizures. There is no cure for this issue, but it can be managed by preventing flare-ups and taking anti-inflammatory medications.

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What could be the red, itchy butterfly rash on face other than rosacea?

Query: Hi doctor, I am 39 years old. I have a very bad red, itchy, weeping, scaly butterfly rash on my face which my doctor says is Rosacea. But it has responded to no treatments except steroid cream so far. I also have excessive watering, itching, and swelling of my eyes (ocular rosacea). Not sure if th...  Read Full »

Dr. Naik Dessai Gauri Govind

Answer: Hi, Welcome to From the photos (attachment removed to protect patient identity) it looks like rosacea. However, the possibility of lupus and allergies to sun exposure can not be ruled out. You should check out for lupus. Steroids are not given in rosacea, as initially, it may give a ...  Read Full »

Left sided abdominal pain

Query: Hello doctor, I am 35 years old, female. I went to the emergency room a few days back. The CT scan was done to check my ovary and when I look at my blood work for the past few years, I was wondering if there was any relation between some of the rising levels especially if anything is not functioning...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello,Welcome to attached reports are not suggesting any specific cancer (attachment removed to protect patient identity). The left-sided abdominal pain could be due to gastritis or diverticulitis. For that, fiber diet can be taken more and antacid like Rabeprazole can be prescribed...  Read Full »

My girlfriend has raised levels of C-reactive, alpha 1 and 2, and LDH, and low levels of percent transferrin saturation. Does it mean she has lupus or cancer?

Query: Hello doctor,This query is for my girlfriend, basically, we did a flow cytometry test and we found a couple of high results I am worried about it and I need a second opinion. The flow cytometry was fine and no abnormality was found. Let me attach some pictures for you. ANA test was negative, a recen...  Read Full »

Dr. Abdul Aziz Khan

Answer: Hello, Welcome to Your reports (attachment removed to protect the patient's identity) review is perfectly normal as mentioned in flow cytometry. Globulin is only one or two digits up and albumin is one or two digit low. As it is not clinically significant so it is taken as normal. So, i...  Read Full »

I have been advised cardiac catheterization for my breathing difficulty and bluish discoloration of my toes after the diagnosis of lupus. Please help.

Query: Hello doctor, I am a 29-year-old black woman with a pre-medical history of lupus, Raynaud's phenomenon, and migraines. Since being diagnosed with lupus two years back, I have been having difficulty breathing and it was found that I have tachycardia, and the doctor is treating me with Metoprolol. Met...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I read your query and can understand your concern. No doubt, it takes a lot of courage to face a health challenge like this. I admire your strength. Your ECG (echocardiogram) report, echocardiography, and cardiac MRI (magnetic resonance imaging) are normal (attachme...  Read Full »

I have a history of lupus and Raynaud's phenomenon, but I currently experience breathing difficulties along with extreme tiredness. Kindly help.

Query: Hello doctor,I am a 29 year old. I have a past medical history of lupus, Raynaud's phenomenon, and migraines. Since being diagnosed with lupus, I have been having difficulty breathing and it was found that I have tachycardia which the doctor is treating me with Metoprolol. Metoprolol helps with shor...  Read Full »

Dr. Amiya Kumar Chattopadhyay

Answer: Hello doctor, I understand your problem. You have done a series of tests about your disease. Reports are inconclusive. You have to undergo a right heart catheterization. Based on the results further course of treatment may be initiated. Till then you continue the treatment as suggested by your loc...  Read Full »

My positive lupus test turned negative two weeks after my hospitalization. What does this mean?

Query: Hi doctor, I am 37 years old Hispanic female. My symptoms began one year ago, and the headaches began two months ago. The positive lupus test was a month ago when I was hospitalized. I want to speak to a rheumatologist regarding a possible lupus diagnosis. I was hospitalized a month ago with severe ...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hi, Welcome to I went through your detailed post. Your chief complaint was a headache with a very high ESR (erythrocyte sedimentation rate), seen only in a few conditions, such as giant cell arteritis. However, a temporal artery biopsy should have been taken before putting in Predniso...  Read Full »

Do all my symptoms occur due to lupus?

Query: Hi doctor, I am a 44 year old female, and I have been diagnosed with rheumatoid arthritis, systemic lupus, and Sjogren's syndrome, with symptoms dating back to as young as six years old. I have also been diagnosed with pulmonary hypertension, thyroiditis, Raynaud disease, right-sided heart enlargeme...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to The diagnosis of asthma is doubtful as pulmonary issues are seen in conditions you are already suffering from like SLE (systemic lupus erythematosus) and rheumatoid arthritis. Basically, the right term for you is MCTD (mixed connective tissue disease), which are assoc...  Read Full »

The biopsy of my skin rash showed interface dermatitis with mucin. Do I have lupus?

Query: Hello doctor, I am a 43 year old female, and I have had itchy, red, and burning rashes. It all started as a few bumps on my right arm, above my eyebrow, right upper nose area, all over the jaw and chin area, right chest and upper back react badly to the sun, and it is getting worse. I have had a l...  Read Full »

Dr. Naval Mendiratta

Answer: Hello, Welcome to The rashes that you are describing along with the biopsy findings can go in favor of a connective tissue disease. Although, I would like to see the reports in detail, but as you mentioned interface dermatitis, it goes more in favor of lupus over dermatomyositis. But...  Read Full »

What are long-term effects of arthritis affecting the neck and wrist?

Query: Hello doctor, I am having symptoms of arthritis in my neck and wrist for more than ten years, and it is getting worse now. I thought it could be due to the effect of wear and tear of my old car accident. And sometimes, I convince myself by saying that it is because of aging. I also had back-to-ba...  Read Full »

Dr. Nupoor Acharya

Answer: Hello, Welcome to The symptoms you have described could be seen in lupus or other connective tissue diseases. Your ANA (antineutrophil antibody) is repeatedly positive. However, the ANA profile does not show any specific antibody. But that does not confirm that you cannot have a conne...  Read Full »

I have persistent rashes on both sides of my cheeks, and have tested positive for ANA. Please advise.

Query: Hello doctor, I am a 20-year-old male. Over the last month or so, I have had this rash on my right cheek that has not gone away. I can also see a little bit of rash on my left cheek as well. I went to the hospital and came back with a positive ANA test 1:160 speckled. I thought it might be lupus, bu...  Read Full »

Dr. Mashfika N Alam

Answer: Hi, Welcome to Since you are ANA (antinuclear antibody) positive, we need to look at autoimmune diseases and must ensure that an appropriate diagnosis is made and treatment started. I need to know if it is also on the nose, as I cannot see from the image (the attachments are removed t...  Read Full »

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