6. Malar rash
This is a classic finding in lupus and a very important sign to consider. The malar bone is located in the area of the cheeks, and an erythematous rash starts to appear in that same spot. It covers the cheek and crosses the face via the nasal bridge as in a butterfly with open wings sparing the nasolabial area. This malar rash is usually painful because the area becomes hypersensitive and itchy and may last for a few days or weeks.