Actually they can. It is recommend to only lay on the heating pad after it has been heated up and removed from its electrical source.

---

Brief Answer:
Erythema ab igne. Avoid heating pad temporarily

Detailed Answer:
Hi there,

There are actually reports of people getting third-degree burns from heating pads. A first degree burn would be a sunburn, a second degree burn would be when you get significant blistering from touching something hot, not blisters that you get from a sunburn, and a third degree burn would be burning all the way through all the layers of your skin, down past your dermal layers and down into subcutaneous tissues.

You have what is called Erythema ab igne (also known as hot water bottle rash, fire stains, laptop thigh, granny's tartan and toasted skin syndrome). It is a skin condition caused by long-term exposure to heat. Some people may complain of mild itchiness and a burning sensation, but often, unless a change in pigmentation is seen, it can go unnoticed.

Erythema ab igne is produced by repeated exposure of the skin to temperatures below the burn threshold (43–47 °C). This exposure induces, by mechanisms that are still undefined, superficial damage to the dermal vascular plexus, with vasodilation and hemosiderin deposition, which result in its characteristic aspect and itching, burning sensation.

This condition, which has been referred to as “hot water bottle rash”, traditionally appeared on the shin skin of elderly individuals due to exposure to space heaters. Today, practices like resting a laptop computer on one's thighs and, above all, the use of heat to relieve pain are the main triggers.

I would highly recommend not using a heating pad until your symptoms. Once her symptoms have resolved, I'd recommend using the heating pad for short durations and making sure it is unplugged while using it. If you continue to use the heating pad, you can get skin changes that will be permanent.

---

Brief Answer:
Let me know if you have additional questions.

Detailed Answer:
I hope you the best. Let me know if you have additional questions.

---

Brief Answer:
try benzoyl peroxide and clindamycin

Detailed Answer:
Hi there,

It has the appearance of acne actually.

I would recommend getting some topical creams such as benzoyl peroxide and clindamycin or similar antibiotic.

---

Brief Answer:
Try hydrocortisone cream

Detailed Answer:
Hi there,

This is not related to your burning skin.

Unfortunately, it does not have the appearance and your supports that. About 98-99% of people with lupus will have a positive ANA. If you want to get to 100% certainty, you should have it biopsied.

And alternative would be to have your doctor prescribe some Hydrocortisone cream to apply to the area. This will not diagnose lupus, but it will help the rash get better.

---