Thanks Veej. I've asked for the skin punch biopsy - she wants to make sure its not Rosacea - so she has me on a cream to clear that up.
No change and she said it would clear up in a week and its been 6 weeks.
Since I"ve been paying closer attention to my symptoms, I've realized that my face rash is really a skin sensitivity. I was bright red last week - I was not outside, but driving in the car and the sun was shining in my face the whole way in. So, another clue that this is lupus. Thanks for the book advice - our libraries here are outdated to say the least, but I will search their database to see if they have them.