lupus rash looks like ringworm

• 8 September 2023

This itchy rash often appears after someone with SLE or acute cutaneous lupus spends time in the sun. Periorbital mucinosis: a variant of cutaneous lupus erythematosus? J Am Acad Dermatol. Superficial mycotic infections are those limited to keratinized environments such as the skin, hair, and nails. Cutaneous LP often is self-limiting; most cases resolve spontaneously within one year.24 For cutaneous disease, topical corticosteroids under occlusion can be used.24,25 When lesions are symptomatic or when oral lesions are present, intralesional triamcinolone is helpful.25 Widespread disease can be treated with systemic corticosteroids, although relapse may occur when the dose is tapered.25, Cutaneous larva migrans is a serpiginous eruption caused by animal hookworm larvae as they migrate through the epidermis.26 In the United States, this disease is most common in warm, southeastern states.27 Percutaneous infection often occurs in those who walk barefoot and children who play in sandboxes. Some lesions might look like ringworm with rough, red patches. It produces a coin-shaped red, scaly rash on the cheeks, nose, and ears. A dermatophyte is simply a type of fungi that can cause skin, hair, or nail infections. This response creates inflammation in many parts of the body, including the joints, kidneys, brain, heart, and lungs. Its worth noting that these lesions are not vesicles [fluid-filled cysts, such as a blister]. Lupus is an inflammatory disease that causes a rash to form on the body and, in an initial form, can resemble a ringworm rash. Normally, blood clots form when there is an injury to prevent the body from bleeding too much. Treatment consists of imidazoles, mainly ketoconazole, as a shampoo when present on the scalp or cream when present on the face and body.36 Topical steroids work quickly and are effective but should be limited because of the risk of steroid rosacea.32 Once cleared, daily maintenance therapy is important to prevent relapse. It can look like a sunburn. Family history may be helpful in revealing relatives with the disease. van de Kerkhof PCM, Nestle FO. Cutaneous lupus erythematosus. With treatment, it heals without scarring. Often people feel pain and stiffness in their joints, which is called lupus arthritis. Lupus is a systemic autoimmune disease in which the bodys immune system attacks healthy tissues and organs. Mycobacterial Infections. About half of cases will begin with a herald patch, a 2 to 4 cm lesion that occurs mainly on the trunk or neck.11 The herald patch is a pink to brown oval-shaped patch or plaque with slightly raised margins and collarette scale at the periphery.10,12 One to two weeks following the herald patch, numerous, fine scaling papules and patches arise on the trunk and proximal extremities, sparing the face, palms, and soles.10 Subsequent lesions are smaller, oval-shaped, and salmon-colored, although they may be hyperpigmented in darker skinned individuals.10,12 (See Figure 1.) Scalp ringworm ( tinea capitis): This causes scaly, red, itchy bald spots on your scalp. What steps can I take to prevent a future lupus rash? This patient developed a lupus rash after spending time under fluorescent lighting. Some people develop a nail infection, which can cause splitting or crumbling nails and discoloration (A), or swollen skin and discoloration around the nails (B). Learn how we can help 5.9k views Reviewed >2 years ago Thank Dr. PHILIP WALLER and another doctor agree 800-688-2421. You may also have rashes on your forehead, arms, legs or other parts of your body. As a general rule, individual wheals do not last longer than 24 hours.20 Urticaria may be accompanied by deeper, ill-defined swellings of the dermis and subcutaneous tissue, termed angioedema.21, Urticaria can be classified as allergic, physical, or idiopathic. A butterfly rash (malar rash) on the face affects many people with lupus, but lupus rashes can appear anywhere on your body. Rosenbach M, et al. The advancing border is raised and may contain vesicles, pustules, or papules.4 Typically, infection begins unilaterally and extends to the medial thighs, perineum, and anus, sparing the scrotum.5 Tinea cruris commonly is found in conjunction with tinea pedis and/or tinea unguium, as the fungus is spread from the infected foot to the groin when clothing is pulled to the waist.2, For localized tinea corporis or cruris, pedis, and faciei, topical antifungals, such as imidazoles (clotrimazole, miconazole, ketoconazole, econazole, oxiconazole, sulconazole) or allylamines (naftifine, terbinafine), should be used once to twice daily for two to six weeks, including two weeks following clearance.2,6 Nystatin, commonly used to treat Candida infections, should not be used to treat tinea.3, Granuloma annulare (GA) is a relatively common, self-limiting disorder of the dermis that affects women twice as often as men.7 The eruption has a predilection for young adults and children, with most cases presenting before the third decade of life.1,7 Although the etiology remains unknown, GA is controversially associated with diabetes mellitus and hyperlipidemia.8 Several clinical variants of GA exist; however, localized disease primarily affects the dorsal surfaces of the fingers, hands, elbows, feet, and ankles.1,7 Lesions are characterized by asymptomatic, erythematous to violaceus colored papules or plaques with a thin, smooth border.9 Lesions develop slowly, spread peripherally, and involute centrally, conferring an annular appearance.9 An isolated (< 5 cm) lesion on the hand or arm represents most cases.7, Granuloma annulare can be diagnosed clinically by its unique distribution and morphology. Last medically reviewed on January 22, 2019, Lupus is an autoimmune disease that can affect almost any part of the body, especially the skin, blood, joints, kidneys, heart, lungs, and brain, Hard skin on your finger can be frustrating, but its usually nothing serious. References In the United States, Borrelia spirochetes are transmitted to humans by an infected Ixodes tick. my dr ruled out bacteria infection and cold sores. This rash reaches across your nose, from cheek to cheek, in a shape that resembles a butterfly. Bacterial Diseases. Get unlimited access to our full publication and article library. In lupus, the immune system can damage healthy red blood cells. James WD, Berger TG, Elston DM. James WD, Berger TG, Elston DM. Leukemia Rash: Pictures, Symptoms, & Treatment - Verywell Health Some lesions might look like ringworm with rough, red patches. People who have lupus often develop symptoms similar to that of the flu. In: James WD, Berger TG, Elston DM. Appear on your lip or inside of your mouth. There are many rashes from lupus but people with lupus can also get rashes that ar Dr. PHILIP WALLER and another doctor agree. Oral corticosteroids if significant pruritus is present. In: James WD, Berger TG, Elston DM. An antigen is any substance that causes the immune system to react, often by producing antibodies to fight against it. Sharply demarcated red to pink to brown patches or thin plaques with greasy scale. As mentioned earlier, individual lesions should not last longer than 24 hours, although an attack may last much longer.21 If lesions persist beyond 24 hours, other causes must be considered and a biopsy may be warranted.22 If food is a suspected trigger, a food diary may be helpful. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Both eczema and ringworm tend to inflame and redden the skin and can make it dry, swollen, crusty, and itchy. The differential diagnosis of urticaria: Part I. Grattan CE, Saini SS. The first kind is peritubular capillary changes, which are vascular changes in the little blood vessels around the nails," notes Stojan. Learn more, EPA Moving to Reduce Cancer Risk to HCWs Exposed to EtO Sterilant, The Vanishing Nurse: Staff, Patients in Peril, CDC: Be Wary of Travelers From African Outbreaks, Healthcare Workers Not Likely Infected, Colonized with C. auris, Tough Love: Returning Injured Workers to Full Duty, Karl Kellawan, MD, Forefront Dermatology, Centerville, OH, Wyatt Andrasik, BS, One way to make that diagnosis is through a biopsy, in which a doctor takes a tissue sample and examines it under a microscope. Pityriasis Rosea: Stages, Photos, Treatments - Verywell Health Can you have lupus without any sort of rashes? You can search by location, condition, and procedure to find the dermatologist thats right for you. People who have discoid lupus develop these patches. A butterfly-shaped rash on your face called a malar rash often occurs. Tinea corporis is a superficial dermatophyte infection of the body, not involving the scalp, face, hands, feet, or groin.4 Classically, tinea corporis is characterized by an asymmetric, well-demarcated, erythematous, dry, and scaly patch with a raised, red advancing border.2,4 Centrally, lesions clear, forming an annular pattern.4 Individual eruptions vary in size, enlarge over time, and often are associated with mild to moderate pruritus, although smaller lesions may be asymptomatic.4, Tinea cruris, or jock itch, is dermatophytosis of the groin.

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