<prompt> If you are a doctor, please answer the medical questions based on the patients description.hiI,m 23 suffering from DLE since 8 years ,I was took steroid oraly for 5years but not it,s not effective and Ican,t take anti malaria because I have G6BD .now, I,m taking MTX 7.5 oraly and corticosteroid and It,s just on my face butterflybut not across nose bridge.what can I do for tretment  <response>: Good evening. The treatment for DUE is a bit tough as not many medications work for it. Plaquenil is the Chat Doctor. If you only have butterfly rash and no rashes elsewhere, you can take a course of oral steroids along with topical creams like tacrolismusafter prescription from your rheumatologist. I wont recommend topical steroids for the face as it can cause skin atrophy on that site. Also, the dose of MTX is quite low. It starts being effective from 15 mg. It can help in the skin problems due to SHE. Avoid going in the sun and if you have to use a good sunscreen with Protective Factor of at least 50. Only having rash is not too serious, so you dont need very strong medications for it. Hope the information was useful. 