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Admin DXD from Singapore asked a question

Could my rash be due to SLE (lupus)?

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DxD

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Is there a chance a person may develop SLE after chemotherapy for breast cancer (after 1 year)? The rashes appeared at the back along nerve line. They also reappeared on arms. Thank you

DOCTOR’S ANSWER (3)

Dear cts,

Without a picture it’s hard to give advice. But something you must consider is Shingles or herpes zoster if you mentioned it’s along a nerve or dermatomal fashion.

Please consult your doctor early and start antiviral treatment if it’s confirmed. Rest well!

0 150 views 0 Doctors agree Fri Jan 26 2018 03:41:45 GMT+0000 (UTC)

Dear CTS,

It is unlikely for SLE to be caused by the breast cancer chemotherapy. There are cases of drug-induced lupus, but this is usually when you are on the drug treatment and unlikely to occur a year after treatment. Furthermore, breast cancer chemotherapy is not a common cause of it.

As for the rash following a nerve, I agree that shingles or herpes zoster needs to considered. The zoster rash is usually associated with pain. It starts off with a red rash and blisters subsequently appear.

It is hard to be sure what the cause of your rash is, and I would suggest seeing your dermatologist/doctor to confirm the diagnosis

0 150 views 0 Doctors agree Fri Jan 26 2018 03:42:14 GMT+0000 (UTC)

I concur with Dr Winston that “rash along the nerve line” is most suspicious for herpes zoster.

You should visit a dermatologist/doctor to have the rash diagnosed. He will also be able to do further tests if SLE is a consideration. Cheers

0 150 views 0 Doctors agree Fri Jan 26 2018 03:42:35 GMT+0000 (UTC)
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