Are red and itchy rosacea symptoms of lupus?

Question

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). I am not sure if there is a connection, but my periods have become unusually light during the last year.

Could I have something more than just Rosacea? What do you think? I am currently being tested for lupus, but would there be other possibilities for what could be causing this? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

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, they may give a good improvement, but as time goes by, you will be completely dependent on them. Topical steroids cause skin atrophy and hoards of other problems which is more or less permanent. So I will suggest you stay away from them.

Topical Metronidazole gel at night with a good sunscreen (as rosacea worsens with sun exposure) will give results. Rosacea is a chronic condition and will last for a long time. You will have to manage it well. It sometimes shows signs of flare-ups and downs, generally as a response to anxiety, stress, excitement, and prolonged sun exposure.

I hope this helps.

Please revert back in case of queries.

Thank you.