A male client seen in an ambulatory clinic has a butterfly rash across the nose.. Systemic lupus erythematosus - SLE

A male client seen in an ambulatory clinic has a butterfly rash across the nose. The nurse interprets that this finding is consistent with early manifestations of which of the following disorders?
a. Hyperthyroidism
b. Perncious anemia
c. Cardiopulmonary disorders
d. Systemic lupus erythematosus (SLE)

Answer D.
An early sign of SLE is the appearance of a butterfly rash across the nose. Hyperthyroidism often leads to moist skin and increased perspiration. Pernicious anemia would be manifested by pallor of the skin. Cardiopulmonary disorders may lead to clubbing of the fingers.