### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i have A bright red rash in the creases of my elbows.. went to the doctor he said it was a yeast infection caused by my pregnancy hormones its now been a yr and it still comes and goes... but ussually when im the most stressed out ive used every thinng and nothing seems to work,,,what could it be and there is also lupis in my family could it possibly that

### output:

Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. From Your description it can be a simple allergy, or actually a hormonal effect as your doctor suggested to that these are hormonal effects of pregnancy, and now you told that this appears when you are stressed ...when one is stressed hormonal changes occur same as in lupus, LUPUS: is a systemic disease by systemic I mean it effects the whole body not just skin of less than 1% of your body, plus lupus has rash, but mostly it appears in response to sunlight.and its location is mostly on ones face. For your knowledge as you have lupus in you family I will here tell you other signs and symptoms of LUPUSAlthough I can well understand it's in your family, so you would have studies it well and know about it by seeing the literature on it and your family members. What happens in Lupus is that your body fights against itself and destroys itself gradually: so symptoms fatigue:Lupus causes mild to extreme fatigue-Joint and muscle pain: Joints may be painful, red, war. Lupus arthritis often occurs on, the small joints of the hands, and the elbows, knees, and ankles.-Skin problems: SKIN RASHES are often an important clue to the diagnosis. Many people have a butterfly rash, which goes over the cheeks and bridge of the nose.-skin sores-flaky red spots on the arms, hands, face, neck, or back-mouth or lip sores; and a scaly, red or purple raised rash on the face, neck, scalp, ears, arms, and chest.-Sensitivity to light: Exposure to ultraviolet light (such as sunlight or tanning parlors) typically makes the skin rash worse and can trigger lupus flares. Many people with lupus are sensitive to light, with fair-skinned people tending to be more sensitive.-Fever.-Changes in weight.-Swollen glands.-Headaches.-Reynolds phenomenon: Some people with lupus have Reynolds phenomenon. It affects the small vessels that supply blood to the skin and the soft tissues under the skin of the fingers and toes. It causes them to turn white and/or blue or red. The skin affected will feel numb, tingly, and cold to the touch.-Hair loss:This hair loss usually isn't permanent. Inflammation of blood vessels in the skin (cutaneous vasculitis): Inflammation or bleeding from the blood vessels can lead to small or large blue spots or small reddish spots on the skin or nails. COMPLICATIONS: include 1-Nervous system2-Heart2-Lung problems. Conclusion:-It doesn't seem to be lupus-If you are still suspicious Talk to your doctor and get yourself tested for lupus.-Some topical anti-allergic it may work-keep them area 