Pathology · single question

Which systemic disease is classically associated with a butterfly (malar) rash across the cheeks and nose?

  1. Systemic lupus erythematosus (SLE)
  2. Dermatomyositis
  3. Rosacea
  4. Psoriasis
Show answer and explanation

Correct answer: A. Systemic lupus erythematosus (SLE)

  • A. Correct. The malar 'butterfly' rash is a hallmark of SLE.
  • B. Dermatomyositis gives a heliotrope rash and Gottron papules.
  • C. Rosacea causes central-face erythema/telangiectasia but is not the 'butterfly rash' of lupus.
  • D. Psoriasis causes scaly plaques on extensor surfaces.

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