Do you have a butterfly/malar rash, and if so what does it look like? I cannot tell if the red/pink on my checks is a butterfly rash or just regular blushing. It difficult to compare to photos online because obviously the photos online are going to show more severe cases. I always have a bit of natural flush on my checks but sometimes it becomes more severe, and the shape changes (from my normal circular spots on my checks to a shape more reminiscent of a butterfly rash). It almost appears as if I was wearing goggles and didn’t put on sunscreen so I got a sunburn under my eyes. It doesn’t hurt, but it does feel warm, despite not having a fever. When it does appear it tends to be accompanied with other autoimmune adjacent symptoms like joint pain. So if you do have a butterfly/malar rash, what is it like? Does it look like the severe pictures online or is it different? If you have a natural, constant flushed coloring, does the coloring or shape appear different when you have a butterfly rash?