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Dr. Carlos Kier

Rheumatology
Arlington, TX
52 years experience

Locations

Office

Arlington, TX

Address

809 W Randol Mill Rd, Arlington, TX
Directions

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Rheumatology

Languages spoken

English

Doctor Q&A

36 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 34-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
No: No causal relationship exists between the two conditions.
A 37-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Refer to answer: Myopathy refers to a disease of the muscles, of which there are many causes. Gout is an inflammation of the joints secondary to the presence of uric ... Read More
A 34-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
There are several: One should avoid the use of narcotic analgesics in the treatment of fm pain. Commonly used medications include nsaid's, tylenol, (acetaminophen) and t... Read More
A 27-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Vitamin C deficiency: The symptoms you described are classic symptoms of vitamin c deficiency(scurvy). The symptoms in part or in whole could be secondary to a number of m... Read More
A 42-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
No: Itching is not a symptom of pmr.
A 38-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
No: There is no evidence the use of Humira (adalimumab) or other biologics have any effect on a person's genetic makeup. These medications function by bl... Read More
A 33-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
That is correct.: I am assuming you are referring to methotrexate, Enbrel (etanercept) and other disease modifying medications. If these medications are discontinued y... Read More
A 41-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Refer to answer: If you are experiencing numbness in the hands without other symptoms it is most likely carpal tunnel syndrome. Arthritis would cause painful swollen ... Read More
A 27-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
RA plus others: Migratory arthritis is not uncommon in early RA prior to the onset of chronic disease. Gout under the right circumstances can be migratory moving from... Read More
A 25-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Possibly: Palindromic arthritis may go into remission with medical treatment . The medication most often used in addition to nsaid's is Plaquenil (hydroxychlor... Read More
A 35-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Yes: Menstrual irregularity is common in women with sle particularly in those treated with immunosuppressive drugs. There is also some evidence sle itself... Read More
A 40-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Multiple medications: It is documented that early, agrressive therapy is indicated in RA and results in much better outcome as opposed to delaying agrressive therapy(as was... Read More
A 33-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Not necessarily: Patients with systemic le will almost always have a positive ana. However, patients with lupus confined to the skin, i.e. Discoid le or scle (subacute... Read More
A 44-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Yes: Any acute or chronic inflammatory disorder can cause fluid retention by several mechanisms. This generally is secondary to reductions in the serum Alb... Read More
A 23-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Back pain: Chronic back pain and muscle spasm. Disc disease, nerve impingement with sciatica, lumbar stenosis can occur depending on the severity of the scolios... Read More
A 29-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Yes: Ra is an autoimmune disorder that is the result of genetic and enviromental factors which result in autoantibody production and a complex inflammatory... Read More
A 34-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Mutiple causes: Joint inflammation(arthritis) is one cause of painful and stiff joints, but not the only cause. Without other clinical information it would be difficu... Read More
A 39-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Infrequently: Amyloidosis is an infrequent finding in sle and is seen more frequently in ra, which is the most common autoimmune disease association.
A 33-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Yes: There is no contraindication to the use of analgesics with humira (adalimumab).
A 32-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Possibly: If the skin condition involving the elbows is psoriasis then there is a possibility of psoriatic arthritis, which occurs in 20% of the patients with p... Read More
A 30-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
It depends on dose: Prednisone at moderate to high doses will cause sodium retention and associated fluid retention with ankle swelling as a manifestation. The effect can... Read More
A 38-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
No: Nicotine in any form including smokeless tobacco tends to make raynaud's worse and in fact works against medications used to treat more chronic forms ... Read More
A 34-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Osteoporosis: Osteoporosis is a condition manifested by loss of total bone mass and which is a consequence of aging. Women develop the condition at an earlier age ... Read More
A 24-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Nerve pressure: Symptoms could be due to degenerative disease of the neck with pressure on the nerves. Carpal tunnel syndrome would be a remote consideration althoug... Read More
A 37-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Symptoms may.: Acute polyarthritis can rarely develop overnight and is one presentation of RA , more common in elderly patients. The immune, genetic and enviromenta... Read More
A 29-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Not necessarily: Although arthritis is a common finding in lupus, not all patients with active lupus will have arthritis. If arthritis was an initial symptom of lupus ... Read More
A 35-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
See below: Arthritis which implies inflammation of the joint lining is one cause of swollen knee(this includes ra, gout, pseudogout and other inflammatory joint ... Read More
A 41-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Carpal tunnel: A likely cause is carpal tunnel syndrome which is common in the workplace. You may notice also numbness and tingling in the arm, symptoms at night or... Read More
A 34-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Yes: In severe cases of raynaud's gangrene may develop in the finger tips and toes. This is often related to concomitant nicotine abuse and is seen in pati... Read More
A 43-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Yes: Low grade fever can be observed in active rheumatoid arthritis, juvenile polyarthritis, arthritis with sle and reactive arthritis. Significant fever c... Read More
A 37-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Refer to answer: Psoriatic spondylitis refers to inflammation of the sacro-iliac joints and the spine and is one manifestation of psoriatic arthritis. The primary sym... Read More
A 19-year-old female asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Not generally: Pulmonary involvement in sle is generally manifested as pleural effusions(fluid around the lung) and pneumonitis. These would generally result in an ... Read More
A 25-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Arteritis: You may be referring to temporal arteritis which is classically an inflammation of the temporal artery(other arteries may be involved) and typically m... Read More
A 27-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
Yes: A significant number of patients with rheumatoid arthritis will have a negative rheumatoid factor at the time of initial evaluation. There is no sing... Read More
A 30-year-old member asked:
Dr. Carlos Kier
Rheumatology 52 years experience
No: Abnormal weight gain is not common with Humira (adalimumab) or other biologic agents. Weight gain has been reported if the patient was cachexic prior ... Read More
A 44-year-old male asked:
Dr. Carlos Kier
Rheumatology 52 years experience
They can.: Muscle injury syndromes secondary to lipid lowering medications can occur at any time during therapy although 2/3 of the cases occur in the first 6 mo... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
137
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Kier is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kier is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I take methotrexate ate predisone but no boilogics, I was off all meds do I got general joint pains
HealthTap member
Thank you, putting a time frame on this issue has encouraged me to make an appointment.
HealthTap member
Thank you, your answer or tip was very helpful!

Education & Training

Medical/Graduate school

University of Texas Medical Branch School of Medicine, TX
Graduated 1970MD
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less