Yes, a lupus rash can be itchy, but it’s not always the case for everyone.

Lupus, or systemic lupus erythematosus (SLE), is an autoimmune disease that can cause rashes and other skin issues.

The most common lupus rash is the “butterfly rash,” which appears across the cheeks and nose. Other types of skin involvement can also occur.

  • butterfly rash (malar rash):
    • location: across the cheeks and nose.
    • itchiness: often not itchy, but can be in some cases.
  • discoid rash:
    • location: usually appears on the scalp, face, and ears.
    • itchiness: can be itchy and sometimes painful.
  • photosensitive rash:
    • location: appears on sun-exposed areas like the face, neck, and arms.
    • itchiness: often itchy and can worsen with sun exposure.

Here are some tips that might help manage itchy lupus rashes:

  • Avoid sun exposure: Reduce sun exposure as much as possible. If you do go in the sun, use sunscreen with high SPF and wear protective clothing.
  • Stay hydrated: Keep your skin moisturized with creams to help keep your skin cells and skin barrier healthy.
  • Avoid smoking: If you smoke, stopping smoking can help since smoking can dry and damage your skin in addition to other serious health effects.
  • Use mild soaps: Choose gentle, fragrance-free soaps and cleansers that are less likely to irritate your skin.
  • Cool compresses: Apply cool, damp cloths to the affected areas to help reduce itching.
  • Medications: Consult your doctor about topical steroids or antihistamines to ease your symptoms.

  • prevalence: Skin involvement occurs in about 70% to 80% of lupus patients.
  • butterfly rash: This rash appears in about 50% of people with lupus.
  • photosensitivity: Photosensitivity can affect around 40 to 70% of lupus patients.

If you or someone you know is experiencing an itchy rash along with other lupus symptoms, it’s important to speak with a healthcare professional.

They can help diagnose the condition and recommend appropriate treatments to manage symptoms. Remember, managing lupus is a team effort, and support is available to help ease your discomfort.