A defining feature of the malar rash is that it spares the nasolabial folds —the creases running from the sides of your nose to the corners of your mouth.
On lighter skin, it appears bright red; on darker skin tones, it may look purple or deep brown and can be harder to distinguish. 2. Chronic Cutaneous Lupus: Discoid Lupus
Lupus can also cause changes to hair and nails, such as hair loss (which can be due to scalp involvement) and nail changes like brittleness, color changes, or splitting.