It could be the development of Lupus Lesions. These lesions affects 70-80% of lupus patients at some point in their lives. Here is an article I found about the different ways that Lupus can affect the skin:
"Lupus can have systemic manifestations or cutaneous manifestations. Rheumatologists have developed a list of eleven criteria based on clinical observations and laboratory test results that are used to diagnose Systemic Lupus Erythematosus (SLE). Of the eleven criteria, four are skin findings:
Malar rash, Discoid lesions, Photosensitivity, Oral ulcers.
Cutaneous Lupus Erythematosus, or skin lupus, can exist with or without systemic manifestations. The most second most common initial presentation of lupus is a skin rash or other skin lesion—a clinical presentation that affects 70-80% of lupus patients at some point in their lives. Almost half of all lupus patients with a skin lesion will have some degree of debilitation or vocational handicap because of it.
Skin Lesions Associated with Cutaneous LE
Rheumatologists have broken down cutaneous LE into specific and non-specific skin lesions. Specific skin lesions are those that are only associated with LE patients, whereas non-specific skin lesions could be found in patients with LE but could also be the result of another disease. LE specific lesions fall into one of three categories:Acute Cutaneous LE (ACLE) often presents as a “butterfly rash”. The butterfly rash has an abrupt onset and can last for hours or days, and usually heals without scarring. Typically, it is localized on the face, but it could occur anywhere on the body. Variations of this rash have been observed, including bullous formations or blisters. Systemic manifestations are common with ACLE.Subacute Cutaneous LE (SCLE) occurs in one of three forms: annular, psoriasiform, or a combination of each.
Annular, or ring-like, lesions commonly appear on the chest area but could also occur in other areas of the body. Symmetric in shape, these lesions are extremely sensitive to the sun but will heal without scarring. A large percentage of patients who have annular lesions will also have systemic findings.
Psoriasiform lesions are thick and scaly, similar in formation and appearance to psoriasis, and usually appear on the knees but could also develop in other areas of the body.
Chronic Cutaneous LE (CCLE) is the third main category of specific skin lesions in lupus. Under this umbrella are several sub-types, including: discoid, hypertrophic, lupus profundus, lupus tumidus, and chillblains.Discoid lupus (DLE) is the most common form of chronic cutaneous lupus. It typically begins as a sharply demarcated, scaly lesion that evolves into a larger scarring plaque with atrophy or loss of skin. Follicular involvement is a prominent feature, causing scales in follicles and hair loss. Ranging from mild to severe, DLE predominantly occurs on the head or neck, particularly on the scalp and around the ears, but can also occur on other areas on the body, including the inside of the mouth. Systemic manifestations can occur in some patients with DLE.Hypertrophic lupus (HLE) causes a raised bump similar to a wart and usually develops at sites of trauma.
Lupus profundus (LEP) is a deep dermal or subcutaneous nodule. The overlying skin may be attached to lesions but will usually heal without scarring. It typically affects the upper arms but may develop on the head, chest, or legs.
Lupus tumidus (LET) presents as indurated plaques (hardened patches) or broad lesions that are slow to heal. Less is known about this form of chronic cutaneous lupus, and physicians will often take a biopsy to find out if the lesion has the typical features of lupus lesions before making a diagnosis.
Chilblains lupus is associated with itchy, cold sensations in the extremities and toes as well as painful, dark red swelling.
There are many LE non-specific skin conditions as well. Some of the more common conditions are: Alopecia, or thinning hair.Telangiectasia are dilated blood vessels. Vasculitis is severe inflammation of blood vessels.
Raynaud’s Phenomenon constricts the blood vessels in the fingers, toes, ears, and nose, causing these areas to become extremely cold. Unlike chilblains, Raynaud’s can cause permanent damage to the skin when left untreated."
Yes, you should contact your doctor in order to find out exactly what is causing your problem. Each condition above has a treatment that can alleviate some of the symptoms. I wish you the very best...
Peace and Blessings
Look For The Good and Praise It!