Systemic lupus erythematosus (SLE) usually comes with skin symptoms, which some people notice worsen when they wear clothing made with certain types of fabric or elastic. “I’ve worn yoga pants and scratched through the fabric to the point of bruising my thighs,” one MyLupusTeam member said.

“I experience this too,” responded another member. “I thought maybe I’m allergic to the fabric.”

About 10 percent of those with lupus experience hives or an itchy rash that resembles an allergic reaction. Choosing comfortable, less irritating fabrics and clothing can help your skin feel better. Here are some helpful tips for dressing with lupus, including what works for MyLupusTeam members.

Go for Natural Fabrics — Except Wool

Unlike synthetic fabrics such as nylon and polyester, which can trap heat and increase sweating, clothing made from cotton and bamboo allows your skin to “breathe.” These natural fabrics also help absorb sweat so your skin stays dry and less likely to become itchy. Look for “100-percent cotton” on clothing labels, and avoid cotton blends that are high in synthetic fabrics. In addition, bamboo has natural antibacterial properties that can be beneficial for sensitive or irritated skin. Another good option made from bamboo or wood pulp is lyocell (Tencel). You can also opt for silk, which is soft and breathable.

Although wool is a natural fiber, it can be itchy. Pay attention to how your skin feels in different materials so you learn what works best for you during a lupus flare-up.

Choose Comfy Closures

Some MyLupusTeam members describe discomfort with clothing containing elastic. “Does anyone else get extremely itchy under their stretchy or elastic clothing?” asked one member. “Bra, waistband of undies, legs if wearing stretchy pants/leggings, etc.? It’s only during flares, and especially that time of the month. It’s almost unbearable!”

Another member wrote, “Every bra I own makes me itch like crazy every day.”

Pants with drawstrings might be a better option if elastic bands bother you. If bras are bothersome during flares, consider going without for a few days — if you’re concerned about coverage, layer a loose, dark blouse over a tank top. Your comfort is key.

Don’t Buy Without Trying

If your skin is sensitive to details like tight collars, clasps that pinch, or large buckles that rub against your skin, you may be better off shopping for clothing in person rather than online. Trying on clothing lets you check for rough seams or other issues before making a purchase. If you order clothes online or through a catalog, scrutinize them at home.

While wearing the item, sit down, bend, and twist to see if any part feels too tight or uncomfortable. Be picky about what you keep, and double-check return policies to make sure you’ll get your money back if an item isn’t quite right.

Consider Sun-Protective Clothing

Sun exposure and ultraviolet (UV) light are major triggers for lupus rashes. You can protect your skin with sunscreen or sun-protective clothing. If your skin is already itchy and sensitive, you may prefer wearing long sleeves and protective garments to slathering sunblock on those parts of the body. Some sun-protective attire also has cooling properties that feel good on hot and itchy skin.

Finding sun-protection strategies that work for you is essential to living well with lupus and preventing sunburn and skin cancer.

Tips From MyLupusTeam Members

Members of MyLupusTeam have offered advice for managing itchy skin and lupus rash. One member uses an antihistamine: “The extreme itching with hives and rashes was one of my first symptoms,” they said. “I take over-the-counter cetirizine (Zyrtec) daily, and it keeps it under control!”

“I wash the area with Ivory soap, pat it dry, and put hydrocortisone cream on it. It helps,” wrote another member.

Others have shared strategies such as these:

• “The bottom half of my legs are on fire, itching and burning. The only thing that helps is ice bags directly on my skin.”
• “I get severe painful itching in the lower part of my legs and occasionally in other areas. … I find using a cotton ball with alcohol helps, followed by my prescription triamcinolone cream.”
• “Anyone who has experienced the various skin sensations should try applying old-fashioned witch hazel to the affected areas. Unfortunately, it doesn’t cure anything, but it makes everything feel much better!”

Check With Your Doctor

Lupus affects people’s skin in different ways. Hearing from others is helpful, but always ask your dermatologist or rheumatologist for medical advice before using medications, supplements, or home remedies to treat skin conditions and other lupus symptoms.

In addition, your health care provider can help screen for potential side effects and interactions with other medications, as well as see if something other than fabric is causing your rash. The many triggers for itching with lupus include cleaning supplies, certain soaps or cleansers, stress, and infections. Working together, you and your doctor can figure out your best plan of action for living well with lupus.

Talk With Others Who Understand

MyLupusTeam is the social network for people with lupus and their loved ones. On MyLupusTeam, over 223,000 people with lupus come together to ask questions, give advice, and share their stories.

Does your skin itch worse with certain fabrics or types of clothing? Have you found any clothing that helps keep your skin comfortable? Post your thoughts in the comments below, or start a conversation by sharing on your Activities page.