Conversation: The conversation between human and AI assistant.
[|Human|] 43yr female 55 140lbs  headaches, blurred vision, butterfly rash across face, have had 2 cervical fusions.  dr treated rash on face with steriod cream, and steriod injection, its clearing up some on face he also pulled blood and tested for lupus, with a ana test it came back negitive.  I have now a few days later noticed a knot and a rash on the back of my neck.  with all these symptoms also comes exhaustion and brain fog.  please any info could help should i go to the e.r.
[|AI|]  Hello, I read carefully your query and understand your concern. Butterfly rash on the face can be related to lupus. Other possible conditions that cause butterfly rash are rosacea. I suggest continuing using the steroid cream for local application. If the diagnosis of rosacea is confirmed, oral antibiotics may be needed. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.