When they say a long term use of prednisone, they are talking about a year or more. Three months is not really considered long term use. Also, you are on a very low dose of Prednisone. I am not a doctor and cannot say what is causing your skin issues, but at this point, I would guess that it is not the Prednisone. It sounds a bit like you are suffering from Lupus lesions/uclers. This may also be the issue with your hair loss.
I know that the hair loss can be devastating. Perhaps you can speak to your doctor about Plaquenil. This is usually the first line of treatment for skin and mouth issues with Lupus. Plaquenil is a cumulative drug and can take several months before you see real results. However, since you are already on a low dose of Prednisone, you may see results a bit faster.
There is a lot of information about Plaquenil here on our site. You can do a search for it and all posts related to that subject will appear. It might be worth it to discuss this with your doctor. In the meantime, I am providing you with some information about Lupus lesions/ulcers and some websites so that you can get a general idea about what they are and what treatment modalities are used:
Skin disorders are very common in Lupus
- Cutaneous manifestation of lupus are as follow:
- Discoid lupus: lesions present as urticarial patch, scaly patch (follicular plugging), scarred patch, with pigmentary changes.
- The palms can be involved with atrophy, erosion or hyperkeratosis.
- During acute flare up of systemic lupus erythematous, patient often develops transient maculopapular butterfly rash affecting both cheeks.(commonly known as the malar rash or mask)
- In subacute lupus (SCLE), the eruption can be urticarial (annular), papulosquamous (psoriasiform).
- Mucosal involvement is also commonly seen and these include ulceration or nosebleed.
- Scalp involvement is not uncommon and both diffuse or scarring alopecia can be seen.
- Vascular lesions seen in lupus include: Raynaud's phenomenon, nail fold telangiectasia and infarct, splinter haemorrhages, chilblain LE, acquired C1 esterase deficiency, vasculitis, urticarial vasculitis, purpura, thrombophlebitis, livedo reticularis, antiphospholipid syndrome, Degos syndrome and calcinosis.
- Others less common cutaneous manifestations are Bullous LE, LE profundus, erythema multiform.
- This type of specific lupus lesion was most recently described by Sontheimer and Gilliam during the late 1970's.
- This lesion is characterized as a non-scarring, erythematosus, or red, coin-shaped lesion which is very photosensitive, meaning it gets worse when exposed to UV light.
- This type of lesion, which is characteristic of subacute cutaneous lupus, occurs in lupus patients who, approximately half of the time, demonstrate features of systemic lupus erythematosus.
- Renal disease, however, is unusual in these patients.
- These skin lesions also occur in people who only have clinical evidence of skin disease (discoid lupus), and do not show any symptoms of systemic lupus.
- Approximately 70% of people with these lesions have anti-Ro antibodies.
- The subacute cutaneous lupus lesion can sometimes mimic the lesions of psoriasis or they can appear as non-scarring, coin-shaped lesions much like hives.
- These lesions can occur on the face in a butterfly distribution, or can cover large areas of the body.
- Unlike the discoid lupus lesions, these lesions do not produce permanent scarring, but can be of major cosmetic significance.
Non-Specific Lupus Lesions - ALOPECIA
- The non-specific lupus lesions include several forms of alopecia, or hair loss, which are not related to the presence of discoid lupus lesions in the scalp.
- Systemic lupus patients who have been severely ill with their disease may over a period of time, develop a transient hair loss in which large amounts of hair evolve into a resting phase and fall out, being quickly replaced by new hair.
- In addition, a severe flare of systemic lupus erythematosus can result in defective hair growth which causes the hair to be fragile and to break easily.
- The hair is broken off above the surface of the scalp, especially at the edge of the scalp, giving the characteristic appearance termed "lupus hair"
[COLOR=rgba(0, 0, 0, 0.498039)]Please let us know if you need anything further. We are here to help you in any way that we can. I wish you the very best.
Peace and Blessings