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Real members of MyLupusTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
November 14, 2025
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What might be causing lesions on your septum, face, and ears?

It sounds like you're experiencing a challenging new symptom pattern. Lesions on the face, ears, and inside the nose can occur with different types of lupus-related skin involvement.

Discoid lupus commonly affects the face, scalp, and ears, causing scaly, raised Show Full Answer

What might be causing lesions on your septum, face, and ears?

It sounds like you're experiencing a challenging new symptom pattern. Lesions on the face, ears, and inside the nose can occur with different types of lupus-related skin involvement.

Discoid lupus commonly affects the face, scalp, and ears, causing scaly, raised lesions. The sensation of your septum feeling like it's "hanging out" is particularly concerning and could indicate nasal ulceration or inflammation affecting the nasal septum.

Approximately 25 percent of people with lupus develop ulcers in or around their nose or mouth. These ulcers are often painless but can cause discomfort, especially during flares. Nasal involvement can sometimes be more severe and affect the structure of the nose itself.

What should you do?

This is a new and concerning symptom that requires medical attention. Contact your rheumatologist or healthcare provider as soon as possible to:

* Assess the extent of nasal involvement
* Determine if this is part of a lupus flare
* Rule out infection (since lupus and its treatments can weaken your immune system)
* Adjust your treatment plan if needed

The combination of facial, ear, and nasal lesions suggests active disease that may need more aggressive treatment to prevent potential damage to your nasal structure.

November 14, 2025

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