Most of us are aware of the Malar rash and rashes we may get when exposed to the sun or even UV lights. I experienced rashes after the sun that looked similar to “sun poisoning” (and was told that is what it was for many years). Just recently, I have begun to develop wheals of incredibly itchy and burning spots that resemble hives (urticaria). These spots pop up when I start flaring and are quickly resolved once I start on a high Prednisone taper. The thing about these lupus hives are that they last longer than 24 hours compared to allergic hives you may have had in the past.
They also leave a residual dark spot once they have gone away. I have had these pop up on my hands as well and actually blister. These have left some very small scars. This starts out as a circular rash that is incredibly itchy. The first time these appeared, I was told that I have Shingles. Most of them followed a dermatome, but I had a few on the other side of my body. The ER doctor stated that because of lupus, it could cause a more widespread outbreak of Shingles. I was given anti-virals. The only ones that blistered were on my fingers.
When it appeared for the third time in a two month time frame, I went back to the doctor. I was given a high steroid taper to help with the rash and reduce the flare symptoms I was feeling during this latest rash episode. The steroids reduced the rash considerably within 24 hours of starting the taper. I have not had the rash biopsied, but if it presents again I am going to have to do that.
Here are pictures of my rash over the course of 3 separate outbreaks.