it can be any number of things... lupus, rosacea, seb derm or other infections.
i'd get checked for lupus most certainly if you don't have other signs of rosacea and/or seb derm (p&p's and/or flakes and scabs)... i think it's a simple blood test to determin, not sure.
but the butterfly mark is generaly something to do with blood vessels if i'm not mistaken.
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Eat up your spinach, it'll put color in your cheeks.
But I don't want green cheeks!
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