How can you keep a job when lupus lands you in the hospital a few times a year? When you literally can't get out of bed many mornings? What if you're self-employed and have to meet tight deadlines?
These are some of the questions about work issues voiced by people in the WebMD Lupus Community. And, as lupus activist Christine Miserandino points out, working when you have lupus is not just a matter of struggling with logistics. At some point, some people with lupus need to consider whether they should...
You can also help prevent skin reactions, too. The best way is to use sunscreen to protect yourself from the sun's ultraviolet (UV) rays.
Skin Changes From Lupus
You can have skin lupus with or without having full-blown systemic lupus erythematosus (SLE), the most common kind of lupus. Be on the lookout for some of these rashes that can be caused by skin lupus:
Butterfly rash: Called a "malar" rash, this may spread over your nose and cheeks in the shape of a butterfly.
The butterfly rash can be just a faint blush or a very severe, scaly rash. The sun's UV rays can trigger it and make it worse.
Sores and rashes. Some may be coin-shaped (called discoid lupus). Or you may develop red, scaly patches or a red, ring-shaped rash, especially where your skin gets sun or other UV light.
The sores get worse without treatment. They usually don't itch or hurt, but they can cause scarring. If this happens on your scalp, you may get patches of long-term baldness.
Small, red, coin-shaped sores. These are caused by exposure to the sun's UV rays and are called subacute cutaneous lesions. They'll likely appear on your arms, shoulders, neck, or upper torso in patches, like psoriasis.
They don't cause scarring, but they can darken or lighten the skin where they appear.
Other Skin Issues
Lupus may also cause skin problems in areas such as your mouth, scalp, lower legs, and fingers. Here are some skin changes to watch out for:
Mucous membrane lesions. These are sores in the mouth or nose.
Hair loss. In some cases, your immune system may destroy hair follicles and make hair fall out for a time. New hair may sometimes grow in.
A severe lupus flare can also make your hair fragile and brittle. This is most likely around the edge of your scalp.