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By Basil Harith(49)
 Derived from the Latin word ‘mala’ which means
cheekbone,
 the Malar or Butterfly rash is a kind of skin condition
typically characterized by the appearance of rashes
across the cheekbones and over the bridge of the
nose.
 Fixed erythema
 These rashes are usually red or purple in color in
either a blotchy pattern or completely red over the
affected area, and can be flat or raised in nature.
 The rash can be mild or severe but is not usually
painful.
 It can be itchy if it is more like a rash than a blush
and some patients even report a ‘hot’ feeling with
more severe malar rashes.
Malar rash
 Systemic Lupus Erythematosus (SLE)
 Bloom Syndrome
 Rosacea
 Lyme disease
 Erysipelas
 Seborrhea or Seborrheic Dermatitis
 Dermatomyositis
 Photosensitivity
 The symptoms of malar or butterfly rash may
be both mild and severe in nature depending
on the extent to which the face has been
affected and also the extent to which the
face is exposed to sun rays.
 Mild malar rash---the rashes acquire a blush-
like nature.
 severe malar rash---one may notice the
formation of scales on the affected areas of
the face.
 in both the cases, the rashes may either be
raised or may be flattened.
 Fatigue
o The patient may also suffer from tiredness due to
this condition.
 Pain
o The person may suffer from pain and stiffness or
swelling in joints if there is lupus involved.
o Lupus adversely impacts the connective tissue of
skin and joints which is the reason for pain in
these regions
 Inflammation of Glands
o Many patients are seen to suffer from swelling in
the glands. This happens if the disease arises due
to lupus.
 Kidney Infections
o Malar Rashes may be accompanied with kidney
and urinary tract infection. There may be pain in
the kidney which is one of the lupus Malar Rash
symptoms.
 Fever
o An affected person may also suffer from higher
body temperatures because of this condition.
 Neurological Disorders
o The disease often affects the central nervous
system (CNS) and the person may suffer from
nervous conditions like seizures, convulsion and
confusion.
 Proper physical examination of the rashes
 medical tests:
i. ESR (Erythrocyte Sedimentation Rate) test
ii. C-reaction protein test
iii. X-rays
iv. anti-nuclear antibody test.
 proper evaluation of the patient’s medical
history
 Urine tests, such as kidney biopsies, and
blood examinations are also necessary in
some cases for an accurate diagnosis.
 Malar Rashes are similar to rashes appearing
in Type 1 diabetes, Type 2 diabetes and
Psoriasis.
 Blood tests are necessary to rule out the
presence of such conditions.
 Sunscreen lotions
 Steroidal creams
 Drugs
 Along with sunlight, exposure to pesticides, mercury and
silica must also be avoided since their contact aggravates
the disease.
 Besides these medications, one can also treat malar rash
at home by applying vitamin E oil, olive oil, cod oil, and
even a pinch of baking soda on the affected area since it
reduces the irritation and pain involved.
 One may take a bath using oatmeal ingredients in warm
water and may also apply fresh Aloe Vera gel on the
affected area so to allow the fast and effective healing of
the butterfly rash.
 Besides these, a low fat, vegetarian diet, sufficient
amount of sleep and drinking plenty of water help in the
effective healing of the butterfly rash.
Malar rash

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Malar rash

  • 2.  Derived from the Latin word ‘mala’ which means cheekbone,  the Malar or Butterfly rash is a kind of skin condition typically characterized by the appearance of rashes across the cheekbones and over the bridge of the nose.  Fixed erythema  These rashes are usually red or purple in color in either a blotchy pattern or completely red over the affected area, and can be flat or raised in nature.  The rash can be mild or severe but is not usually painful.  It can be itchy if it is more like a rash than a blush and some patients even report a ‘hot’ feeling with more severe malar rashes.
  • 4.  Systemic Lupus Erythematosus (SLE)  Bloom Syndrome  Rosacea  Lyme disease  Erysipelas  Seborrhea or Seborrheic Dermatitis  Dermatomyositis  Photosensitivity
  • 5.  The symptoms of malar or butterfly rash may be both mild and severe in nature depending on the extent to which the face has been affected and also the extent to which the face is exposed to sun rays.  Mild malar rash---the rashes acquire a blush- like nature.  severe malar rash---one may notice the formation of scales on the affected areas of the face.  in both the cases, the rashes may either be raised or may be flattened.
  • 6.  Fatigue o The patient may also suffer from tiredness due to this condition.  Pain o The person may suffer from pain and stiffness or swelling in joints if there is lupus involved. o Lupus adversely impacts the connective tissue of skin and joints which is the reason for pain in these regions
  • 7.  Inflammation of Glands o Many patients are seen to suffer from swelling in the glands. This happens if the disease arises due to lupus.  Kidney Infections o Malar Rashes may be accompanied with kidney and urinary tract infection. There may be pain in the kidney which is one of the lupus Malar Rash symptoms.
  • 8.  Fever o An affected person may also suffer from higher body temperatures because of this condition.  Neurological Disorders o The disease often affects the central nervous system (CNS) and the person may suffer from nervous conditions like seizures, convulsion and confusion.
  • 9.  Proper physical examination of the rashes  medical tests: i. ESR (Erythrocyte Sedimentation Rate) test ii. C-reaction protein test iii. X-rays iv. anti-nuclear antibody test.  proper evaluation of the patient’s medical history  Urine tests, such as kidney biopsies, and blood examinations are also necessary in some cases for an accurate diagnosis.
  • 10.  Malar Rashes are similar to rashes appearing in Type 1 diabetes, Type 2 diabetes and Psoriasis.  Blood tests are necessary to rule out the presence of such conditions.
  • 11.  Sunscreen lotions  Steroidal creams  Drugs  Along with sunlight, exposure to pesticides, mercury and silica must also be avoided since their contact aggravates the disease.  Besides these medications, one can also treat malar rash at home by applying vitamin E oil, olive oil, cod oil, and even a pinch of baking soda on the affected area since it reduces the irritation and pain involved.  One may take a bath using oatmeal ingredients in warm water and may also apply fresh Aloe Vera gel on the affected area so to allow the fast and effective healing of the butterfly rash.  Besides these, a low fat, vegetarian diet, sufficient amount of sleep and drinking plenty of water help in the effective healing of the butterfly rash.