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Childhood systemic lupus erythematosus generally presents between the ages of 3 and 15, with girls outnumbering boys 4:1, and typical skin manifestations being butterfly eruption on the face and photosensitivity.
A butterfly rash across the face is often the first sign of lupus.
"I have to avoid the sun because I developed the butterfly rash," Ms. Lewis said, referring to the telltale rash that afflicts 40 percent of lupus patients.
Swelling and bruises on her legs, thinning hair and a butterfly rash on her face are constant reminders of her condition, in which the body's immune system begins attacking healthy tissue.
Acute cutaneous lupus erythematosus is a cutaneous condition characterized by a bilateral malar erythema (also known as the "butterfly rash") and lesions that tend to be transient, follow sun exposure.
Joint pain or swelling Muscle pain Fever with no known cause Red rashes, often on the face (also called the "butterfly rash") There is no one test to diagnose lupus, and it may take months or years to make the diagnosis.