### Skin Changes Caused by Lupus and How to Manage Them If you have lupus, you're likely to experience skin issues at some point. Here are some common skin changes and how to manage them: #### Butterfly Rash - **Description**: A rash that spreads over your nose and cheeks in the shape of a butterfly. - **Management**: Use sunscreen to protect from UV rays, and your doctor may prescribe topical medications like steroid creams. #### Sores and Rashes - **Description**: These can be coin-shaped (discoid lupus) or red, scaly patches. They often appear where your skin gets sun exposure. - **Management**: Topical medications and avoiding sun exposure can help. Untreated sores can cause scarring. #### Subacute Cutaneous Lesions - **Description**: Small, red, coin-shaped areas that appear on arms, shoulders, neck, or upper torso. - **Management**: These lesions don't cause scarring but can darken or lighten the skin. Use sunscreen and avoid UV exposure. #### Mucous Membrane Lesions - **Description**: Sores in the mouth or nose. - **Management**: Consult your doctor for appropriate treatment. #### Hair Loss - **Description**: Hair may fall out due to immune system attacking hair follicles. Hair can become fragile and brittle. - **Management**: Treatment of lupus can help manage hair loss. New hair may grow back. #### Purplish Spots on Lower Legs - **Description**: Inflammation and damage to blood vessels cause these spots, known as cutaneous vasculitis lesions. - **Management**: These can cause severe skin damage. Notify your doctor if you see small black spots on fingers or toes. #### Raynaud's Phenomenon - **Description**: Blood vessels in fingers and toes tighten, causing color changes (red, white, blue) in cold weather. - **Management**: Keep fingers and toes warm by wearing mittens and thick socks. #### Livedo Reticularis - **Description**: A bluish, lacy pattern under the skin, often on the legs. - **Management**: This condition tends to worsen in cold weather. Keep warm to manage symptoms. By following these management tips and consulting with your doctor, you can help alleviate the skin issues associated with lupus.