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Hello philipa,
As gert has already told you it is very hard to tell what is really causing that skin rash until you check with your mother’s doctor.
And since she has been diagnosed with scleroderma lupus you are aware that this autoimmune disease has its symptoms such as rash which is usually one of the variations of the inflammation. Also autoimmune diseases are very complicated because your own immune system is attacking your body.
Usually, scleroderma is characterized with fibrosis in the skin and organs of the body and unfortunately the cause of scleroderma is not known. As far the researches has shown that genetics is important but the environment as well.
Keep us posted about your mother’s condition.
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