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Butterfly rash

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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This is the characteristic skin lesion of systemic lupus erythematosus. Erythema occurs in a butterfly distribution on the cheeks of the face and across the bridge of the nose. Frequently precipitated by sun exposure (UVB is the usual precipitant; UVA may exacerbate SLE). May precede SLE by weeks or months.

The rash heals without blemish (1).

Reference:

  • Hall FC et al.Systemic lupus erythematosus. Medicine International (1994);22(2):58-64.

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