The letters of HAPPY HOLIDAYS are written by nature's own hand on the wings of butterflies. In the 1840s the significance of the butterfly to those with lupus was recognized by the Viennese physician Ferdinand von Hebra. He described it as a distinctive rash - "mainly on the face, on the cheeks and nose in a distribution not dissimilar to a butterfly." While the butterfly across the cheeks and nose may be a common symptom of lupus, it is also the Lupus Foundation of America's symbol of hope.