Among the common presentations seen on a day-to-day basis are annular lesions. Small, violaceous, polygonal-shaped papules and plaques with a diffuse network of white streaking. These rashes differ a lot. The most common type affects young adults, usually on the hands and feet. SCLE rashes tend to develop on parts of your body that get a lot of sun, such as your arms, shoulders, chest and neck. This usually starts as an. (https://jamanetwork.com/journals/jamadermatology/fullarticle/1818978). my dr ruled out bacteria infection and cold sores. Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. Learn which joints it usually affects and what you can do to manage the pain. To learn more, please visit our, It would be very easy for a dermatologist to tell you if you have. Avoid going outside when the suns rays are strongest, between 10 a.m. and 4 p.m. Cutaneous lupus erythematosus. Red to pink plaques with raised borders and central clearing. SCLE is characterized by the rapid appearance of small or large, erythematous to pink-colored plaques with raised borders, central clearing, and an easily detached scale.41,42 The eruption is extremely photosensitive and, thus, most commonly will present on the face, upper trunk, and the backs of the arms.41, In differentiating SCLE from other annular lesions, a history of sun exposure in correlation with the appropriate distribution supports the diagnosis. In this variant, lesions are characterized by well-demarcated, erythematous plaques with an active border composed of pustules. In: James WD, Berger TG, Elston DM. In: Bolognia JL, Schaffer JV, Cerroni L. Piette EW, Rosenbach M. Granuloma annulare: Pathogenesis, disease associations and triggers, and therapeutic options. When you have a butterfly rash, people may think that youre flushing, blushing or have a bad sunburn. Tracts migrate up to several centimeters a day and may disappear then reappear throughout their course.27 Systemic manifestations are not seen, as larvae are unable to invade deeper tissues.27. Described as a Christmas-tree distribution when on the back. Having SCLE can make you more sensitive to the sun, so you need to be careful when going outside or sitting under fluorescent lights. Inflammation throughout your body causes symptoms like lupus rashes, joint pain, extreme fatigue and fever. Images 12,13: Used with permission of theJournal of the American Academy of Dermatology. Favors the trunk and proximal extremities. Many types of lupus can cause hair loss. Tinea corporis produces well-demarcated, erythematous, dry, and scaly lesions with raised red borders and central clearing.