Malar flush Puns

Anyone have any insight on how to tell the difference between facial flushing from prednisone vs malar rash? I will def ask the rheum next time I see them, but just wondering in the meantime if anyone’s experienced this. FWIW I’m in a low dose of prednisone (10mg) and the rash is uncomfortable - almost feels sore to the touch. It does seem to come and go - but is more frequent late afternoons to evenings. Rarely have it in the morning. Ugh.

Hello all!

I'd appreciate any advice on how to proceed. So some background – I caught Covid in mid-November 2021. Since then I’ve noticed what can be described as red patch on my forehead that’s constantly there (not itchy, just there); cheeks, nose and chin get red with intense flushing a couple of times a day that extends to the temples and sometimes even the eyebrows (possible malar rash?). More recently I started experiencing joint paints - one day it will be my knee, the next my wrist, then again the knee, then my ankles. I get mottled skin on my hands and the inside of my elbows but really faint pink colour. Started doing my research and this points to some sort of autoimmune, possible SLE. Did two types of ANA screening/panels in the space of 2 weeks as well as some general bloodwork – please see the attached results (they're in Cyrillic but all got the latin names).

Note that in the 2 panels results are given/measured in different reference ranges (probably different method, if someone can explain).

ANA is borderline positive 1:100 (that’s the measure the lab uses) The first panel was specific for SLE – all results were negative, however the second panel was more extended and there SS-B antibodies (present in the first panel as well) are borderline positive. I know SS A and SS B are primarily associated with Sjorgen's syndrome but also with SLE. I read the SS B and SS-A are usually the first to be produced even before onset of symptoms and that SS B is related to lately manifested SLE..

The ESR and especially CRP puzzle me a bit - they show no inflammation. CRP is extremely low - <0.60...(the previous month was around 1.20) However I came across this info (citing a study) that low CRP levels may contribute to the development of lupus.. There's 0 dsSNA in the second panel while in the first there was some (again, different methods/reference ranges).

I understand that positive ANA after Covid is a thing but this borderline positive SS B has made me anxious. Also, I have some symptoms that maybe deserve to be explored. Ideally I want to get the rash biopsied but I contacted a dermatologist that came recommended and she said she doesn't do skin biopsies. I will look for another. Any advice what other bloodwork tests I can do to delve further? The city I live in has only one specialized rheum clinic and appointments are booked for the next couple of months. Thank you in advance!

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Hey, there. My story is long and complicated, so I’m going to try to keep it concise (spoiler: I may have failed—TL;DR: basically title, current approach/products in bold further down).

The second week of November, my body started freaking out in a multi-systemic manner that I’m now convinced is indicative of a larger issue like HIT/MCAS. I was eventually put on prednisone for pain/pressure in my ear and ended up in the ER on the third day with cardiovascular effects, but all my other weird seemingly allergy/immune reactions had been getting worse while on the prednisone as well.

Because of some of those reactions, like flushing, headache, and swollen eyes, they ran a blood test for ANA titers and mine came back high positive, 1:1280, homogenous and speckled. I was further tested for lupus and referred to a rheumatologist, but most everything else came back negative and he doesn’t think it’s autoimmune-related at this point but wants to follow up in a few months.

While there I asked him about rosacea, as it popped up when I was looking into the lupus malar rash, and he said it’s the number one mimic. After a ton of further research, I’m now convinced the flushing and potentially the red/hot ears are rosacea, especially as I’m having new telangiectasia popping up almost daily on my cheeks, base of my nostrils, chin, and chest. I also have them along my eyelids at the base of the eyelashes, and combined with the fact that I was diagnosed with dry eye earlier last year, I think I’m also dealing with ocular rosacea.

My mom has scleritis, which can apparently be caused by ocular rosacea, and my sister has been dealing with a red, bumpy, irritated patch on one cheek for years now. Apparently half or so of people with rosacea will test positive for ANA titers, as it’s a chronic inflammatory state, and studies have shown those with rosacea to possess more mast cells compared to healthy controls, which would also suggest a connection to issues like HIT/MCAS. And clearly high histamine foods/drinks are common triggers for rosacea, so here we are.

I see the allergist on Wednesday to look into histamine issues in general, but don’t see my dermatologist until March. I’ve gone from no noticeable telangiectasia a couple months ago to my cheeks nearly covered with them now, and this weekend I had one of my worst flares seemingly from an interaction with someone that made me a little flustered, which has never happened before. It felt and looked like a sunburn and cov

At 24 I was diagnosed with a genetic mutation (BRCA1) that significantly increases my risk of breast and ovarian cancer. Women die young in my family and I was already growing several benign breast tumors, so in 2019 I had a prophylactic bilateral mastectomy. They hollowed out my breasts, removed my nipples, cut my pectoral muscles in half (vertically), and sewed bags under the muscle flaps to begin reconstruction. It took several months to pump up the balloons, which had painful pokey corners, before the reconstruction surgery. A bit more than 2 years out I have terrible scarring and nerve damage. The implants are slightly too big and cause daily pain. I can no longer sleep on my stomach.

I thought that would be it, and I would have another decade to enjoy life before they take my ovaries and Fallopian tubes. But no, I won the genetic lottery.

A few months after my reconstruction, I was walking up the stairs at work when I felt like a knife went straight up through my vagina to my belly button. I hobbled home and couldn’t move for six hours. Turned out to be a “simple” ovarian cyst 4 cm wide, just below the threshold for surgery. When I followed up it had shrunk by 0.2 cm, so they assured me it would go away on its own.

After two years the pain had become truly debilitating to my life, and I missed a lot of school and work. I was bedridden for days at a time, was terrified of using the bathroom, and could no longer have pain-free sex with my fiancé. I tracked my symptoms for several months and realized the most severe pain happened roughly around ovulation (even though my Nexplanon birth control should have prevented ovulation).

I aggressively pursued surgery to remove my “perfectly normal and simple” cyst. It was an endometrioma and my right ovary adhered to my abdominal wall. I feel much better post-surgery, and thought I might have at least a few years of good health before my next issue.

Psych, two weeks out from surgery I get what appears to be a ganglion cyst at the base of my right middle finger, it gets banged on things all the time causing a weird twinge through my palm to my elbow, and it kinda hurts. They can go away on their own but with my luck, I’ll need surgery.

I’ve also had a growing lipoma on my shin for 2 years and no one takes me seriously when I remind them I have a genetic mutation that allows tumors to go rampant. Lipoma cancers are rare but let’s guess one of the gene mutation’s associated with it, ding ding it’s BRCA1!

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Two days ago I finished my second round of Excel V and since I know I was one of many people on this thread who was on the fence about lasers a few months ago, I wanted to add my two cents here and say that I 100% recommend it. I couldn’t be happier with the results, even after just one treatment - no more abnormal flushing, more even-toned skin, no visible capillaries, discoloration of malar bags almost completely gone. It’ll take 6-8 weeks to see the “final” results of my second treatment but already I feel like it has changed my life.

For anyone interested in/considering lasers (all info according to my derm, who is great and who has been doing this for 25+ years - not me making up info):

• Excel V isn’t the only laser for rosacea but is the “gold standard” for chronic redness because it targets over-expanded capillaries and causes them to narrow. For reference, I have Type 1 rosacea (chronic redness, no pustules or bumps, no burning or itching).

• Those of us who have tried Oracea &amp; other antibiotics for Type 1 rosacea and haven’t seen much of a difference aren’t just unlucky: antibiotics target only bacterial infections, which can help with some types of rosacea, but won’t do anything about general chronic redness caused by broadened capillaries.

• Avg. cost per treatment: around $500 (mine was $475)

• Number of treatments needed varies. Most people need between 2 and 6 though obviously you can decide what you’re happy with.

• Results should last 4-5 years (or more!) depending on your skin and factors like how often you’re in the sun.

• It feels like needle pricks on your skin. It is not pleasant, but it’s quick cause and the pain doesn’t last.

• You can expect swelling and redness for up to a week afterwards. After both treatments I had only minor redness (mostly on my malar bags, which the laser has reduced MASSIVELY). The swelling is rough - your cheeks swell upwards so at its worst the swelling obscures your vision a bit and even in a mask you look pretty funny. Sleeping upright or with your head at an incline helps (learned this the second time around).

Overall, like the title says, five stars for the Excel V laser. Best money I’ve ever spent, seriously.

So, as above I guess! Over the last week I’ve been getting a rash over my cheeks in the butterfly sort of pattern you…. It’s bright red, radiates heat and burns, (kinda like sunburn but so much worse) but it only lasts for a few hours then goes again. Each time it comes it’s worse than before.. I’ve sent pictures to my doctor but just wondered if this was something similar?

Hey, all. Super happy to find an evidence-based sub for this as I work my way through figuring out if I'm dealing with MCAS/HIT. Also, I can't write a short anything post to save my life, so fair warning.

I have a long history of symptoms and medical realities that "shouldn't" be the case based on my age or history or test results. Horrifically painful periods from the (early) start, unexplained infertility in my late 20s, polycystic ovaries but no PCOS, early onset osteoarthritis and other connective tissue issues diagnosed in my mid-20s, dyshidrotic eczema cropping up after my kids were born despite zero history of eczema, bouts of acute diverticulitis starting in my early 30s, a fairly rare skin condition usually seen in much older women diagnosed in my 30s, lifelong IBS-D that I've been told repeatedly doesn't match with traditional IBS symptoms, etc.

I started perimenopause a few years ago (I'm now 41) and have chalked a lot of my more recent symptoms up to that, like overheating and sweating excessively no matter the temperature, and the accompanying night sweats and hot flashes--yet also sometimes suddenly and randomly getting so cold, I can't warm back up for hours (and regardless of what temp my body feels like, my hands and feet have always been cold and are downright frigid these days). My first (and only) migraine (with aura), disrupted sleep, weird skin changes, menstrual cycle changes, not being able to open my eyes first thing in the morning due to excruciating stinging and pain--then after putting drops in, they proceed to water so badly for the next several hours, I can't even put my glasses on because they just fog up. Only OTC ketotifen or prescription ketorolac drops help with this, but an ophthalmologist diagnosed dry eye earlier this year and told me to stop those and just use omega 3 drops. However, I'm back to using OTC ketotifen because they're what actually help (and my doctor won't continue to prescribe ketorolac, which was even more effective). I'm also pretty sure I've been dealing with the first signs of trigeminal neuralgia over the past couple of years (I only realized finally because my mom also has this, as well as scleritis).

We've been under an insane amount of stress recently and during the second week of November, after an especially awful day, I randomly got sick and threw up and things have only gotten worse and weirder from there. The nausea and vomiting lasted a week or so and during this time, the newer IB

I don't want to step on anybody's toes here, but the amount of non-dad jokes here in this subreddit really annoys me. First of all, dad jokes CAN be NSFW, it clearly says so in the sub rules. Secondly, it doesn't automatically make it a dad joke if it's from a conversation between you and your child. Most importantly, the jokes that your CHILDREN tell YOU are not dad jokes. The point of a dad joke is that it's so cheesy only a dad who's trying to be funny would make such a joke. That's it. They are stupid plays on words, lame puns and so on. There has to be a clever pun or wordplay for it to be considered a dad joke.

Again, to all the fellow dads, I apologise if I'm sounding too harsh. But I just needed to get it off my chest.

Any time my body temperature raises, whether exercise or outdoor exposure, I will get a general redness that makes me look flushed but it's bumpy like malar rash. It goes over the top of my nose like butterfly rash and avoids my eyes and forehead. It goes down to my jaw and makes a clean line where you can see a drastic difference between neck and face.

It does not feel like a sunburn and generally resolves in a few hours. Is that like what anyone else has here?

The nurse asked the rabbit, “what is your blood type?”

“I am probably a type O” said the rabbit.

The doctor says it terminal.

Alot of great jokes get posted here! However just because you have a joke, doesn't mean it's a dad joke.

THIS IS NOT ABOUT NSFW, THIS IS ABOUT LONG JOKES, BLONDE JOKES, SEXUAL JOKES, KNOCK KNOCK JOKES, POLITICAL JOKES, ETC BEING POSTED IN A DAD JOKE SUB

Try telling these sexual jokes that get posted here, to your kid and see how your spouse likes it.. if that goes well, Try telling one of your friends kid about your sex life being like Coca cola, first it was normal, than light and now zero , and see if the parents are OK with you telling their kid the "dad joke"

I'm not even referencing the NSFW, I'm saying Dad jokes are corny, and sometimes painful, not sexual

So check out r/jokes for all types of jokes

r/unclejokes for dirty jokes

r/3amjokes for real weird and alot of OC

r/cleandadjokes If your really sick of seeing not dad jokes in r/dadjokes

Punchline !

Edit: this is not a post about NSFW , This is about jokes, knock knock jokes, blonde jokes, political jokes etc being posted in a dad joke sub

Edit 2: don't touch the thermostat

Do your worst!

How the hell am I suppose to know when it’s raining in Sweden?

Mathematical puns makes me number

We told her she can lean on us for support. Although, we are going to have to change her driver's license, her height is going down by a foot. I don't want to go too far out on a limb here but it better not be a hack job.

Ants don’t even have the concept fathers, let alone a good dad joke. Keep r/ants out of my r/dadjokes.

But no, seriously. I understand rule 7 is great to have intelligent discussion, but sometimes it feels like 1 in 10 posts here is someone getting upset about the jokes on this sub. Let the mods deal with it, they regulate the sub.

They were cooked in Greece.

I'm surprised it hasn't decade.

He lost May

Now that I listen to albums, I hardly ever leave the house.

Said if she ever hosts a gender reveal party, when it comes time to pop the balloon she'll spray everyone with water.

Gender is fluid.

Don't you know a good pun is its own reword?

Two muffins are in an oven, one muffin looks at the other and says "is it just me, or is it hot in here?"

Then the other muffin says "AHH, TALKING MUFFIN!!!"

For context I'm a Refuse Driver (Garbage man) & today I was on food waste. After I'd tipped I was checking the wagon for any defects when I spotted a lone pea balanced on the lifts.

I said "hey look, an escaPEA"

No one near me but it didn't half make me laugh for a good hour or so!

Edit: I can't believe how much this has blown up. Thank you everyone I've had a blast reading through the replies 😂

It really does, I swear!

But let me give it a shot.

And now I’m cannelloni

He’s the new temp.

Because she wanted to see the task manager.

But that’s comparing apples to oranges

And boy are my arms legs.

Amy

Put it on my bill

Heard they've been doing some shady business.

but then I remembered it was ground this morning.

Edit: Thank you guys for the awards, they're much nicer than the cardboard sleeve I've been using and reassures me that my jokes aren't stale

Edit 2: I have already been made aware that Men In Black 3 has told a version of this joke before. If the joke is not new to you, please enjoy any of the single origin puns in the comments

They’re on standbi

BamBOO!

A play on words.