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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Pimples On Face And Chest After Exposure To Sun Sign Of Lupus?

I have been taking plaquenil for 1 1/2 yrs now for RA. Last summer I had to wear a hat due to blistering on the scalp. This spring a hat also as the sun became hotter in the south where I live but also have developed pimple like rash on my face and chest and I don't get out in the sun except for small trips around town when needed. Is this a concern or could I possibly have lupus also. Becky from Alabama
Mon, 25 Aug 2014
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Rheumatologist,  's  Response
Dear becky, i went through your query. I am a bit concerned about your diagnosis of Rheumatoid Arthritis. As we know, plaquenil is not the first drug of choice for Rheumatoid Arthritis. It is a very mild drug when it comes to RA and i doubt it will be able to control your RA as a single drug alone. Maybe you had Lupus since the beginning as it is a very close mimic to RA. These rashes which are triggered in the sun are a common sign in Lupus, it is known as Photosenstivity. I am not sure if your ANA was done initially. You can check your ANA and ENA Profile once if it hasnt been done. Try using a good sunscreen if the Protecting Factor of more than 50. I hope the information was useful
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Rheumatologist,  Dr. Dr. Shruti Rijhwani's  Response
You should get ANA testing done because there is a possibilty of overlap syndrome with lupus . Also ENA profile needs to be done . Do you get fatigue and oral ulceration also or there is any history of abortion .
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Is Pimples On Face And Chest After Exposure To Sun Sign Of Lupus?

Dear becky, i went through your query. I am a bit concerned about your diagnosis of Rheumatoid Arthritis. As we know, plaquenil is not the first drug of choice for Rheumatoid Arthritis. It is a very mild drug when it comes to RA and i doubt it will be able to control your RA as a single drug alone. Maybe you had Lupus since the beginning as it is a very close mimic to RA. These rashes which are triggered in the sun are a common sign in Lupus, it is known as Photosenstivity. I am not sure if your ANA was done initially. You can check your ANA and ENA Profile once if it hasnt been done. Try using a good sunscreen if the Protecting Factor of more than 50. I hope the information was useful