Lupus Malar Rash or...?

It could be rosacea or other skin condition. A dermatologist seems like a good starting point to me.

You didn't mention your other symptoms but the first step to see if it is lupus is to get an ANA blood test. Almost all (95%) of people with lupus have a high ANA blood test. However, a positive ANA does not necessarily mean you have lupus... Your general practioner can order the ANA test. He/she would probably also order a CBC. If the ANA results are positive, you will most likely be referred to a rheumatologist.

Good luck - I hope it is not lupus!

@Kimstph Yes! I have considered the fact that it may very well be rosacea that I just never noticed before the onset of my symptoms since there was no need to notice it. I have had tons of symptoms over the past 6 months. However, my primary ones seem to be joint/muscle aches and pains (knees, ankles, hips), swollen lymph nodes (right side of neck only), diffuse hair loss, mildly purple hands when cold (Not sure if this is Reynauds), red hot hands randomly, and brain fog, just to name a few. However, all tests have come back normal over the past 6 months. (3xCBC, Protein Urine, TSH, ANA, 2xSed, and a few other autoimmune tests I can't think of)

@Lynnwood I thought a Lupus Malar rash was more angry indeed, that's why I am still keeping my options open. However, I do know it is always there, it just needs the right light to be seen, so I don't think a sinus decongestant would help too much. Maybe I am wrong?

Thanks for all the replies! :)

I have no visible swelling and all of my rashes appear to be light, so its extremely hard to get a decent picture of them when they are there. Other then my hands, they turn super bright. I have asked for a referral to a rheumy but no doctors around here are willing to give one out without positive blood work.