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Hi,
My 13yo daughter has been in and out of the doctors for the last two years. She has this recurring rash (see photo) which begins as a red malar rash but then leaves these raw patches which takes months to heal and leave scars. It seems to be triggered by strong chemicals (eg air freshener is a realy problem). She is sporty and fit so doctors have ruled out lupus (her ANA was borderline) but I am concerned that the topical creams (we've tried steroids, tacrolimus and pimecrolimus) aren't helping because there's a root cause...lupus. If anyone has anyone suggestions for how to push for further investigation or any further trips I would be so grateful. It is awful seeing her face so sore all the time. Thank you from a desperate mother!!