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Dr. Alfred Kim

Rheumatology
Saint Louis, MO
17 years experience male

Locations

Washington University School of Medicine/Barnes-Jewish Hospital

Saint Louis, MO

Address

4921 Parkview Place, Suite 5C, Saint Louis, MO
Directions

My office hours

Tuesday: Closed
Show more

About

Bio

I focus on the care of patients with moderate to severe lupus at Washington University School of Medicine/Barnes-Jewish Hospital. I also perform basic scientific research on how the immune system induces kidney injury using mouse models, and help perform clinical trials on novel therapies in lupus.

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

Internal Medicine

Doctor Q&A

84 Answers
75 Agrees
The number of answers this doctor has agreed with.
A 39-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
No difference: The active ingredient is the same.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
JAK inhibitors: Let's assume we are talking about rheumatoid arthritis. The most recent fda-approved medication is tofacitinib, which inhibits proteins called jaks th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Nothing safer: Plaquenil is also known as hydroxychloroquine, so the parent drug Chloroquine can be substituted. But Chloroquine has significantly higher rate of ret... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Talk to your rheum: It's important to figure out where the pain is coming from. Most lupus pts assume the pain is from lupus, but it could be coming from something else, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Complicated answer: There is no definitive test for lupus. There is the "ana test" which is positive in all patients with lupus, but is also positive in some healthy peop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Wear and tear: Osteoarthritis (aka degenerative joint disease) occurs when the cartilage lining the bones in the joint wear out, leading to bone on bone contact and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Depends on symptoms: ANA is a screen for lupus. The pattern was used in the past to assist in diagnosing lupus and related conditions, but we have better tests (i.e. Ena p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Fatigue, pain: This is a difficult question to answer since lupus has been associated with virtually every organ system, and can cause a multitude of symptoms. Of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
It can be: Tough to answer in this format. There are 2 major types of amyloid: 1) al, and 2) aa. Al is due to a type of blood cell cancer (plasma cell), and aa i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Many things; viruses: So it's unclear exactly what triggers a lupus flare. What we do know it that lupus activates that same immune pathway as viruses (called the type one ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Venus Williams: While sjogren's is not a common disease, there are several million in the us that have this condition.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
EMG, MRI primarily: We suspect polymyositis (pm) when there is muscle weakness without pain occurs in the shoulder and hip areas (i.E difficulty brushing teeth, combing h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Recheck ESR: I would make sure that this is not just a spurious result. Have it checked again. If it is still elevated, talk to your md to explore whether or not t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Inability to breathe: Polymyositis is immune injury to skeletal muscle, leading to weakness. If left untreated, it can affect the diaphragm which helps you breathe. This ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Fatigue, joint pain: So this is very difficult to answer. Autoimmune diseases can cause a very diverse array of symptoms, but the most common ones that are shared amongst ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Heartburn, : Scleroderma can affect everything from the mouth to the anus. The most common symptom is heartburn. The most common finding is esophageal dysmotility,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Get off RA meds: Rheumatoid arthritis remains a difficult diagnosis for rheumatologists despite our knowledge about it. I can understand your frustration with this typ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Not accurate for dz: Adding to other answer: so i'm assuming you are ana-positive and rf-negative. ANA is used to screen for lupus and other connective tissue diseases. Ev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Potentially several: Many rheumatologists used to think that diet can be a significant contributor to gout flares, but i think many (including me) are changing our minds. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Need more info: So for any diagnosis of autoimmune disease (such as lupus, rheumatoid arthritis), lab tests are actually not very helpful. Symptoms drive our decision... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
1.5 gm/dose: Assuming this is orally given for muscle spasm (it can be given IV and also be used for tetanus), you can take up to 6 gms/day (split up 4x/day, there... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Need military lawyer: So from what i understand, psoriatic arthritis is under dc 5009, which is based off of dc 5002. In layman's terms, it depends on disease activity and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Joint, entheses dz: Reactive arthritis (formerly known as reiter's syndrome) is an uncommon (<0.01%) inflammatory arthritic condition preceded by an infection, usually in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Not necessarily: You are lucky not to have internal organ involvement (for those in the us, nba legend kevin mchale lost his 22 yo daughter today from lupus), but Meth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
PMR likely autoimm: So ANA is probably the most misinterpreted test by almost everyone: it is just a screen for autoimmunity, but not all autoimmunity. And a positive ANA... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
None: So to answer the question that i think you're asking, there has been no known association with anti-tnf medications and fertility or your ability to s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
No: Polymyositis is a condition where your immune system is causing muscle injury, which leads to weakness. Interestingly, this does not cause any pain. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Yes: This is a loaded question--if you are flaring with your disease, these shots may reduce your flare and the labs will reflect this. If there is no dise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Later in disease: Rheumatoid nodules are collections of scar tissue that has built up from repeated vessel damage from rheumatoid arthritis. Ra can cause vasculitis (ve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
X-rays, rest: The biggest thing to rule out is a fracture, and x-rays can pick up the obvious ones. If after several weeks of rest, it has not resolved, repeat x-ra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Tocilizumab: So for a fraction of people with temporal arthritis, they possess extremely elevated il-6 levels. Il-6 is a protein that increases with inflammation a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Don't overintepret: 1st ?: lupus is a diagnosis based on symptoms, not labs. Someone can have (+) ana, (-) dsdna, and symptoms that can be best explained by lupus, so the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Genes, environment: This answer will change as we know more about lupus. We believe that for a person to get lupus, from the limited genetic information we have now, abou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Vessel inflammation: Vasculitis is a basket term for numerous conditions that cause inflammatory damage to vessels. Vasculitis itself is not a diagnosis, but just a findin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Ultrasound, MRI: Ultrasound has become the leading method for detecting synovitis (joint inflammation) since it is easy to perform. Mri is also sensitive, and provides... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Pain control, PT: Bouchard's nodes are an end result of degenerative arthritis of the middle knuckle of your fingers (pip joint). For unclear reasons, bone on bone dama... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Avoid NSAIDS: So everyone has a very acidic stomach, but you probably feel symptoms like heartburn. In these cases, nsaids like Ibuprofen or Naproxen can enhance th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Morning stiffness: Rheumatoid arthritis (RA) is classically associated with stiffness of joints after long periods of rest, especially after waking up in the am. It can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Medication, PT: So degenerative arthritic pain is one of the most common and difficult conditions to treat. Pain control with medications is 1st: nsaids (oral or topi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Joint replacement: Bisphosphonates (medications typically used for osteoporosis) can be used as a non-surgical approach, but most people need surgery.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Still unknown: Even though there is this very well-established connection between chronic Prednisone use and avascular necrosis, how this occurs remains unclear. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
# of joints affected: So rheumatologists can get diagnostic information based on the # of joints affected. Polyarthritis is having >4 joint affected, oligoarthritis is 2-4 ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Joint, entheses dz: Reactive arthritis (formerly known as reiter's syndrome) is an uncommon (<0.01%) inflammatory arthritic condition preceded by an infection, usually in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Joint, entheses dz: Reactive arthritis (formerly known as reiter's syndrome) is an uncommon (<0.01%) inflammatory arthritic condition preceded by an infection, usually in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Medicines, PT: Let's assume this is from osteoarthritis (wear & tear) and this advice (like all advice from this site) must be discussed with your md prior to starti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Estrogen effects: This is a highly disputed point currently, but there is a school of thought that Estrogens can worsen raynaud's. A definitive link remains elusive tho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Whatever works: That was a terse answer, but that is the truth. Everything from over the counter meds to narcotics need to be used, but most people will eventually ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Not specifically: So it appears that you have bone lesions, but because it's in the marrow of your spine does not mean the nervous system is involved.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Alfred Kim
Rheumatology 17 years experience
Rheumatologist: See a rheumatologist or neuromuscular specialist. First to confirm that this indeed is the right diagnosis, and second, to evaluate the needs for medi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Alfred Kim
Rheumatology 17 years experience
No limit for now: There is no established limit to its use, as long as it continues to work. In those where it does work, it has been successful is delaying (but not pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
196
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Kim is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Kim is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you for this information, but if you're not in the US then what other medicine can I take? I've had r.arthritis for 23 years now
HealthTap member
Thank you, your answer was very helpful! I never knew about this new medicine, thanks!
HealthTap member
Thank you, your answer was very helpful! Thanks,the answer was brief,clear .

Education & Training

Medical/Graduate school

Drexel University College of Medicine, PA
Graduated 2005MD

Residency

BARNES JEWISH HOSPITAL

Awards

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