•The image shows an erythematous rash sparing the nasolabial f | Dermatology

•The image shows an erythematous rash sparing the nasolabial folds which coupled with clinical history points to diagnosis of SLE. •Choice B leads to heliotrope rash involving the upper eye lid and proximal muscle weakness. •Choice C presents as grey-brown patches, usually on the face on the cheeks, bridge of the nose, forehead, chin, and above the upper lip. It can also appear on sunexposed parts of body, such as the forearms and neck. •Choice D presents as redness, and can slowly spread beyond the nose and cheeks to the forehead and chin. There will be flushing, visible blood vessels and acne like breakouts.