In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. While rare, a basic cancer workup is warranted to rule out a paraneoplastic cause. J Am Acad Dermatol 2016;75:1081-99. Other types of hair loss also develop. Leukemia rash may look like tiny red spots, bruising, and petechiae. Retrieved from, What causes hemolytic anemia? Porokeratosis of Mibelli literature review and a case report. Superficial mycotic infections are those limited to keratinized environments such as the skin, hair, and nails. Favors the dorsal aspects of the extremities. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Leukemia rash may look like tiny red spots, bruising, and petechiae. Atopic Dermatitis, Eczema, and Noninfectious Immunodeficiency Disorders. The recent consumer reports had an excellent article about the best rated sunscreens on the market. We look forward to having you as a long-term member of the Relias Itchiness. You can expect permanent results in all but one area. A butterfly rash (malar rash) on the face affects many people with lupus, but lupus rashes can appear anywhere on your body. Effective sun-protection helps to prevent this rash, which usually develops on the upper back, upper chest, or arms. Occasionally, atypical target lesions that are round, edematous, and composed of only two distinct zones are present.43 Lesions may sting, burn, and even blister at the center.43 Sites of predilection include the palms, dorsal hands, elbows, backs of the arms, knees, shins, dorsal feet, and soles.14,43, EM major occurs primarily as a drug reaction. Seborrheic dermatitis can cause similar symptoms as scalp . Lesions are similar to those of tinea corporis, characterized by an asymmetric, well-defined, mildly erythematous patch with associated scale. Malar rash is a classic photosensitive rash; it tends to be induced by sun exposure, says Stojan. For potential or actual medical emergencies, immediately call 911 or your local emergency service. . Learn how we can help 5.9k views Reviewed >2 years ago Thank Dr. PHILIP WALLER and another doctor agree Several tests will be needed to diagnose lupus to rule out other conditions. Learning more about lupus can also be helpful. Our website services, content, and products are for informational purposes only. Can begin with a herald patch, followed by a diffuse eruption involving the trunk and proximal extremities. Characteristically anesthetic. (2014, March 21). 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). Well-circumscribed, erythematous dry plaques with silvery scale. Its worth noting that these lesions are not vesicles [fluid-filled cysts, such as a blister]. Oral lesions typically are painful, especially when ulcerated. Elsevier, China, 2018: 662-80. Because less blood can travel from the heart to the lungs to pick up oxygen, the heart has to work much harder to keep up. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Patients often are Caucasian women aged 15 to 40 years.42, Because of the transient nature of the eruption, treatment is centered around sun protection.42 If medical therapy is preferred, topical corticosteroids or antimalarial agents, such as hydroxychloroquine, can be used.41, Sarcoidosis is an idiopathic systemic disease characterized by non-caseating granulomas in multiple organ systems mainly the lungs, but also the skin, lymph nodes, eyes, and salivary glands.7,9 The disease is more common in women and typically begins between the ages of 20 and 40 years.9 Interestingly, in the United States, there is marked racial variation, with sarcoidosis affecting African Americans more often than Caucasians.9, Skin involvement is seen in up to one-third of those affected and may be the first and/or only clinical sign of disease.7,9 Lesion morphology varies, presenting as multiple round papules, patches, or plaques that favor the face, neck, and areas of prior injury such as tattoos and scars.7 Color ranges from red to purple to brown.7 Annular configurations may be present when multiple papules coalesce or when plaques clear centrally.7 Applying pressure to the firm lesions causes blanching, sometimes revealing a yellow-brown (apple-jelly) color.7 Lesions are almost always asymptomatic, although rarely may itch.9, Diagnosis may be straightforward in a patient with a known history of sarcoidosis; however, with no prior history, a biopsy of the lesion will reveal non- Urticaria and Angioedema. Other rashes can look like ringworm, including spider. Heres what you need to know. Like you, Ive had little training in dermatology; most of what I know was learned on the job and through continuing education. is this diagnosis wrong? It can be mistaken for psoriasis or eczema. See additional information. When lupus attacks the lungs, it can cause trouble breathing. Acute cutaneous lupus erythematosus refers to the notorious malar rash that is almost always associated with systemic disease.41 Subacute cutaneous lupus erythematosus (SCLE) describes a photosensitive eruption that commonly forms annular lesions, but is associated with systemic disease only occasionally. If you already have a subscription to this publication, please log in to view the full article. There are many rashes from lupus but people with lupus can also get rashes that ar Dr. PHILIP WALLER and another doctor agree. This rash usually appears on parts of the body that are exposed to sun, such as the arms, shoulders, neck, chest, and trunk. Papulosquamous lesions appear as red scaly areas and can be on the shoulders, back, and chest, whereas annular lesions can appear in circular, ring-type patterns and can look like a fungal infection, says Stojan. They feel extremely tired. Doxycycline (adults)/amoxicillin (pregnant women and children). Heres how long botox tends to last. When seborrheic dermatitis is present on the face, lesions are remarkably symmetric, mostly affecting the forehead, eyebrows, and retroauricular areas.36 When present in large folds, seborrheic dermatitis tends to be centered along the crease, whereas tinea is less often as symmetric.36 In addition, patches and plaques of seborrheic dermatitis typically are more numerous and appear greasier than lesions of tinea. Can you have lupus without any sort of rashes? People who have lupus can also develop sores inside their nose, eyes, or vagina. You don't currently have a subscription to allow access to this publication. During an eruption, lesions begin small then extend peripherally, becoming more erythematous over time.32 As lesions mature, desquamation occurs, leaving a collarette of scale at the margin, which often is accompanied by intense pruritis and burning.32,33. Can have annular lesions. There are two kinds of subacute cutaneous lupus lesions: papulosquamous lesions and annular lesions. Image 1: Used with permission of theJournal of the American Academy of Dermatology. Not All Round Rashes Are Ringworm: A Differential Diagnosis of Annular and Nummular Lesions. Therefore, referral to a dermatologist is appropriate. All rights reserved. Thirteenth-century physician Rogerius Frugardi thought the lupus face rash resembled the markings of a wolfs face or bite. 800-688-2421. What steps can I take to prevent a future lupus rash? Joint pain, stiffness and swelling. Find out what can help. We do not endorse non-Cleveland Clinic products or services. Policy. Prompt treatment of discoid lupus on the scalp can prevent scarring. Researchers are still learning why, but treatments are similar across. Granuloma annulare (gran-u-LOW-muh an-u-LAR-e) is a skin condition that causes a raised rash or bumps in a ring pattern. Sometimes, a rash or other sign of lupus causes a symptom like itch or pain. limiting in that humans are dead-end hosts. Ringworm, also called tinea, is a fungal infection that people with leukemia may be more prone to developing. In contrast, the term nummular, derived from the Latin word nummulus, meaning coin shaped, is used to describe sharply marginated, round to disc-shaped lesions without central clearing. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Lupus is a chronic inflammatory disease that can cause a scaly rash to form on the upper body and face. Discoid sores on your lips or inside of your mouth may develop a type of skin cancer called squamous cell carcinoma. Elewski BE, et al. A small percentage of people will develop both this ring-like rash and the one that looks like eczema or psoriasis. The smaller lesions are usually on the torso or wherever the herald patch is located. You don't currently have a subscription to allow access to this publication. In: James WD, Berger TG, Elston DM. Chronic discoid lupus rashes or sores may put you at risk for skin cancer. Although characteristic plaques predominate, variations in morphology are not uncommon. It can look like a sunburn. In: James WD, Berger TG, Elston DM. In the United States, Borrelia spirochetes are transmitted to humans by an infected Ixodes tick. 2018;18(3):e411-e412. In people with subacute cutaneous lupus (SCLE), the rash looks like scaly red patches or ring shapes. Flaky, visibly greasy, white to yellow scaling overlies affected areas.36 Most cases are pruritic, and symptoms generally intensify with sweat.32,36, Seborrheic dermatitis may closely resemble tinea or psoriasis, especially in the groin. Natalie tried many acne products without success. Chronic urticaria almost always occurs in adults and often does not have an obvious trigger.20 The eruption is composed of wheals, well-defined superficial swellings of the dermis that are characterized by raised, erythematous papules or plaques surrounded by a red flare.21 (See Figure 4.) It's most common in men and adolescent boys. You can also take these steps to protect yourself from light exposure: You should call your healthcare provider if you experience lupus rashes that: You may want to ask your healthcare provider: Lupus skin rashes are a common disease symptom of cutaneous lupus. In: Bolognia JL, Schaffer JV, Cerroni L. Griffiths CE, Barker JN. It has a red, ring like pattern,sometimes with a little scaling in sun exposed areas, and may be confused withpsoriasis or ringworm. The ACLE rash is very sensitive to light. Feldmeier H, Schuster A. Mini review: Hookworm-related cutaneous larva migrans. Is it lupus or ringworm? by doing a simple scraping. Ultraviolet light exposure can bring on lupus skin rashes or make them worse. ENT. The most common type, chronic plaque psoriasis, accounts for approximately 90% of cases.34 In this variant, lesions present as well-circumscribed, erythematous, dry plaques covered by a silvery scale. While a lupus rash can sometimes resemble a hickey, several other skin conditions can cause similar-looking marks. Bacterial Diseases. How do the rashes associated with annular lichen planus and subacute cutaneous lupus differ in appearance? As with most tick bites, an erythematous, small, round papule will appear at the site of the bite, and within days, the surrounding erythema will migrate peripherally, forming a large, erythematous plaque.17 The expanding border will be warm and slightly raised without an associated scale, while centrally, a ring may clear, resulting in an annular or pathognomonic bulls-eye appearance.18,19 (See Figure 3.) While tinea may be readily identifiable, a wide variety of clinical entities mimic these infections, leading to confusion and, often, misdiagnosis. The different types of lupus can also cause the following changes to your skin: Lacy pattern on the skin called livedo reticularis, Poor blood flow in the fingers and toes when exposed to cold (Raynauds phenomenon). May scar or discolor skin (lighter or darker). In naming dermatophyte infections, the term tinea is used, followed by the Latin name for the anatomical area infected.2 Subtypes include tinea corporis (body), cruris (groin), capitis (scalp), faciei (face), barbae (beard), unguium (nail), and manuum (hand). Sometimes, visible blood vessels appear around the nails. Discoid lupus causes raised, scaly patches. Annular, skin- to brown-colored plaque with a raised, ridge-like border. Well-circumscribed, non-scaly edematous papules or plaques with blanched centers, surrounded by a red flare. Occurs following sun exposure. (2012). Butterfly or malar rash is a kind of acute cutaneous lupus, according to Stojan. For information on new subscriptions, product Ringworm can appear anywhere on the body, but is most often found on the feet ( athlete's foot ), groin area ( jock itch ), scalp, hands, nails, and beard. Get useful, helpful and relevant health + wellness information, 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.aad.org/public/diseases/a-z/lupus-symptoms), (https://www.americanskin.org/resource/lupus.php), (https://www.cdc.gov/lupus/basics/symptoms.htm), (https://www.lupus.org/resources/how-lupus-affects-the-skin), (https://www.lupus.org/resources/the-history-of-lupus), (https://www.lupusresearch.org/understanding-lupus/what-is-lupus/symptoms/), (https://www.merckmanuals.com/home/bone,-joint,-and-muscle-disorders/autoimmune-disorders-of-connective-tissue/systemic-lupus-erythematosus-sle). You can learn more about how we ensure our content is accurate and current by reading our. In: James WD, Berger TG, Elston DM. Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. (2013, July 12), How does lupus affect the skin? To learn why someone may get any type of lupus, go to:Lupus and your skin: Causes. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. and article library. both enjoyable and insightful. Psoriasis. Sometimes the rash is new onset, and sometimes it has been present for a while and refractory to treatment. Images 6,7: Used with permission of theJournal of the American Academy of Dermatology. Not all butterfly rashes are lupus thats important to note; eczema is one example of a skin condition that may look like butterfly rash, he says. Leukemia and its associated treatments may cause skin-related side effects. ACLE rashes occur when you have a lupus flare-up. Centrally, lesions may be hyperpigmented or skin-colored.24 LP may mimic tinea, granuloma annulare, or porokeratosis of Mibelli (discussed later). Lee LA, Werth VP. Not All Round Rashes Are Ringworm: A Differential Diagnosis of Annular and Nummular Lesions November 1, 2018 Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. We use cookies to create a better experience. Certain types of lupus cause distinct lupus skin rashes. Red blood cells transport oxygen-rich blood from the heart and lungs to the rest of the body. If you have discoid lupus, hair loss can be permanent. (2013, May 28). Hands (tinea manuum): Signs of ringworm on your hands . Has circular, coin- or disk-shaped red patches that are thick and scaly. The signs and symptoms of lupus that you experience will depend on which body systems are affected by the disease. There are several different types of skin changes and rashes associated with lupus. It's not contagious and usually not painful, but it can make you feel self-conscious. These dry, coarse hairs break off easily, causing the sparse-looking hair known as lupus hair. Hansens Disease. This autoimmune disease may impact your skin, nails, and hair. Morales-Burgos A, Snchez JL, et al. In: Bolognia JL, Schaffer JV, Cerroni L. Perkins J, Buckland M, Miller RA. As many as 40 percent of all people with lupus and up to one-third of all children with lupus will develop kidney-related complications, according to the Lupus Foundation of America. Laboratory tests rarely are indicated and generally are not recommended. The UV radiation damages the cells in the skin, and that exposes antigens that the immune system recognizes, and that leads to an immune response in the skin, says Dr. Stojan. (2013, July 12). Dr. Kellawan (author), Mr. Andrasik (author), Dr. Schneider (editor), Dr. Stapczynski (editor), Ms. Light (nurse planner), Ms. Mark (executive editor), Ms. Coplin (executive editor), and Ms. Hatcher (editorial group manager) report no financial relationships with companies related to the field of study covered by this CME activity. Lupus that affects the skin (CLE) comes in different forms, and causes different types of rashes. Hsu S, Le EH, Khoshevis MR. But there's no itching, unlike in the case of ringworm. Lupus vs ringworm Cause: The exact cause behind lupus is not clear, Genetics, environmental factors and the immune system may play a role in it. A small subset of patients will experience a prodrome of headache, fever, and generalized malaise days to weeks prior to the initial outbreak.13. Among the many organs that lupus attacks are the kidneys, which normally filter blood and remove waste from the body. Among the common presentations seen on a day-to-day basis are annular lesions. Periorbital mucinosis: a variant of cutaneous lupus erythematosus? J Am Acad Dermatol. Multiple firm, red to purple to brown colored papules, nodules, or plaques. Without prompt treatment, these patches tend to stay on the skin for a long time sometimes for years. 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. Rosenbach M, et al. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. American Academy of Dermatology Association. Treatment can help get rid of these symptoms until your skin clears. In: Bolognia JL, Schaffer JV, Cerroni L. James WD, Berger TG, Elston DM. Yes: People with lupus can have a variety of cutaneous manifestations. Chronic discoid lupus rashes or sores may put you at risk for skin cancer. Early, localized lesions can be treated with topical thiabendazole. Your healthcare provider can help you find the best treatments to prevent and treat lupus rashes. Other conditions can cause a malar rash, however, so this symptom alone is not enough to indicate lupus. These can include: Fungal Infections: Ringworm can cause circular, red. Dermatologists care for people of all ages. Lesions have a predilection for the trunk and proximal extremities, sparing the hands, feet, face, and mucosa.14 When pressed, lesions should blanch. Youll also see ways that lupus can affect the hair and nails. 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, What does a lupus rash look like on darker skin? If you've seen in your ear nose and throat doctor that might help. In: Bolognia JL, Schaffer JV, Cerroni L. Piette EW, Rosenbach M. Granuloma annulare: Pathogenesis, disease associations and triggers, and therapeutic options. The rash doesnt itch or hurt, but once it fades, it may leave the skin discolored. Tuberculoid erythematous plaques with raised, sharply defined borders and atrophic center. In: James WD, Berger TG, Elston DM. Knowing what to watch out for detailed below can help you manage and treat these conditions. Definitive diagnosis can be made with biopsy and histopathological examination showing a cornoid lamella.29, Treatment consists of topical 5-fluorouracil alone or in combination with topical retinoids.30,31 Other possible approaches include cryotherapy with liquid nitrogen.29, Psoriasis is one of the most common skin conditions encountered by primary care physicians. The eruption can be differentiated from tinea by its lack of scale and distinctive migrating course. When the rash is localized to the trunk, axillae, or groin, it commonly is mistaken for tinea. Instead of developing a rash that looks like eczema or psoriasis, some people with this type of cutaneous lupus get a ring-like rash from the sun. Once the lupus is under control, the hair grows back in again. References It can be an indication of systemic lupus, but it can also happen on its own, according to NYU Langone Health. If you have ringworm, common symptoms include: A circular or ring-like rash that may be raised along the edges A rash that may be scaly, itchy, red, or burning Hair loss in the area where the rash has appeared The rash may develop several red, raised rings at once, some of which may overlap. Hair loss (discoid lupus) 2013 Jun;27(3):391-404. A discoid lupus rash typically: Has circular, coin- or disk-shaped red patches that are thick and scaly. Acutely, lesions may ooze and have associated vesicles.38 Most will lack central clearing, although in some cases, plaques can expand and clear centrally, conferring an annular appearance.1 Lesions are especially common during winter months when skin is dry and primarily present on the lower legs, dorsal hands, and extensor surface of the arms.39 Excoriations often are prominent because of intense pruritus.36. J Am Acad Dermatol 2010;62:667-71. Asymptomatic lesions with smooth, non-scaly contours are differentiated easily from the pruritic, scaly, and rough lesions of tinea. There are different types of lupus, and each can affect the skin differently. Weston G, Payette M. Update of lichen planus and its clinical variants. Paraneoplastic erythema annulare centrifugum eruption (PEACE). The office is open 8:00AM - 8:00PM M-F Eastern Time. Sometimes the hair can break off in the front or maybe you can see new hair regrowing, which is termed lupus hair," Werth explains. They have headaches and a fever, and their joints become swollen or painful. Most cases occur on the feet, hands, and buttocks where larvae can penetrate the skin easily.28 Shortly after infection, patients experience intense pruritus localized to the area of inoculation. Annular LP is a subtype of LP present in 10% of cases and seen scattered among typical lesions described above. Can lupus cause rashes and itchiness on other parts of the body besides the face? There are two kinds of changes that can happen around the nails in lupus. Scalp ringworm ( tinea capitis): This causes scaly, red, itchy bald spots on your scalp. Rashes occur when immune cells in your skin react to UV light sources, releasing chemicals that inflame your skin. How do lupus rashes start out? Additionally, the disease can trigger carpal tunnel syndrome, which leads to pain and numbness in the hands and fingers. Minor skin injuries and some medicines might trigger the condition. After it resolves, it can leave white patches or discolored patches or possibly scarring, he says. Avoiding UV light exposure can lessen your chances of developing a lupus skin rash. Favors the face, upper trunk, and backs of arms. Rarely, patients experience a chronic course lasting longer than six weeks or progress to anaphylaxis.21 In acute cases, a trigger such as infection or allergic reaction may be identified. How can ringworm, shingles, and other rashes appear on darker skin? Benign Epidermal Tumors and Proliferations. The first kind is peritubular capillary changes, which are vascular changes in the little blood vessels around the nails," notes Stojan. It looks like ringworm and usually appears on the torso. access to 500+ CME/CE credit hours per year, and access to 24 yearly Mycobacterial Infections. Oral corticosteroids for systemic disease. This condition causes painful, purple skin patches that worsen in cold temperatures. In lupus, thrombosis may occur, causing clots to form where theyre not needed. Shape varies, but lesions often are round and blanch centrally, conferring an annular appearance.14 Lesions range from a few millimeters to more than 10 cm in size and are accompanied by intense itching, stinging, or burning. The classic presentation often is alarming to patients, prompting medical evaluation. Other symptoms may include: dry skin rough or scaly patches of skin swelling crusting or oozing Unlike ringworm, there's. Hotzenecker W, Prins C, French LE. There are different types of CLE, each with different skin rashes. Distribution is helpful in distinguishing seborrheic dermatitis from tinea. In: Bolognia JL, Schaffer JV, Cerroni L. Barrett M, Luu M. Differential diagnosis of atopic dermatitis. my face gets red daily & occasionally extra redness in shape of butterfly rashes. Topical or intralesional corticosteroids; oral corticosteroids if severe. Some people with lupus have another problem with their blood. Annular skin lesions are among the most common dermatologic presentations. In lupus, the immune system can damage healthy red blood cells. How to tell if i have ringworm or lupus rash? Lupus gets its name from the facial rash. Your Guide to Treating Lupus-Related Pain, How Lupus May Affect Your Eyes and Eyesight. (2013, June 20). The most common type of lupus, systemic lupus erythematosus (SLE), can cause dry, coarse hair to develop along the hairline. Butterfly-shaped rash on the face that covers the cheeks and bridge of the nose or rashes elsewhere on the body. Bites, stings, and outdoor rashes Many insects can cause a. 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.) Lesions may be dry, scaly, and hairless, but most importantly, anesthetic.44,45 The superficial nerves supplying the area may be enlarged, tender, and palpable.1,45, The lepromatous form represents a poor cell-mediated immune response.45 Patients present with generalized disease, consisting of numerous, symmetrically distributed lesions characterized by small, poorly defined hypopigmented macules without associated anesthesia.45 Eventually, nodules and raised plaques of the face (leonine facies), ears, elbows, hands, and knees may appear.45 Nerve involvement can occur, but will present as a symmetric stocking-glove pattern neuropathy.45, Diagnosis of Hansens disease is made by identifying the infectious acid-fast bacilli in skin or nerve lesions with biopsy.45 In the United States, tuberculoid leprosy is treated with a combination of dapsone and rifampin for 12 months.45 Lepromatous leprosy is treated with a combination of dapsone, rifampin, and clofazimine for two years.45. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. UV exposure brings on or worsens skin problems for as many as 7 in 10 people with lupus. Mu EW, Sanchez M, Mir A, et al. Biopsy with histopathologic correlation can be used to confirm or establish the diagnosis when not clinically obvious.7, Reassurance and observation is appropriate, as GA is benign and self-limiting. SCLE rashes tend to develop on parts of your body that get a lot of sun, such as your arms, shoulders, chest and neck. Establishing a broad differential and focusing on key morphological characteristics will improve accuracy of diagnosis, limit unnecessary treatment, and lead to faster resolution of disease. When available, the diagnosis can be confirmed by observing branching hyphae under the microscope using a potassium hydroxide (KOH) preparation. Erythema and Urticaria. When this patient saw a dermatologist, the doctor immediately began testing for lupus. What it looks like: Scabies is a discolored, splotchy rash that can appear pimple-like on any affected parts of the skin. Other conditions that occasionally look like ringworm include seborrhea, psoriasis, pityriasis, contact dermatitis (such as poison oak), drug reactions, tinea versicolor, vitiligo, erythema migrans (a rash seen in Lyme disease), and even lupus. Ferreira FR, Santos LD, Tagliarini FA, Lira ML. Melasma is actually a form of hyperpigmentation, which is a broad skin condition in which skin has discolored or darkened for a variety of reasons, such as sun damage or acne scarring.
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