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A 52-year-old female asked:

i believe that i have lupus but the doctors that i have seen are hesitant to diagnose it. i have auto immune hemolytic anemia and auto immune thrombocetapenia. what shouldi do?

4 doctor answers5 doctors weighed in
Dr. Gurmukh Singh
Pathology 49 years experience
Label not relevant : To treatment. The management of hemolytic anemia and thrombocytopenia would not change with or without the label of sle. Do you have a need to have this label? If you do, you should discuss that with your doctor. Hemolytic anemic and autoimmune thrombocytopenia can be part of sle but can occur as isolated entities as well.
Dr. Guy DaSilva
Preventive Medicine 35 years experience
Certainly autoimmune: The "naming" of the autoimmune condition you exhibit is less important than finding the root cause and reversing the syndrome's signs and symptoms. No matter what name you apply, the treatment is typically long term Prednisone use or drugs to shut off the immune system. Getting rid if the mediators that are causing autoimmunity is key. Usually these mediators come in through the gut.
Dr. Scott Diede
A Verified Doctoranswered
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Evans syndrome: What you are describing, autoimmune destruction of red blood cells and platelets, is known as evans syndrome. While there are some case reports of patients with evans syndrome being diagnosed lupus, the vast majority of patients with evans do not have lupus. That being said, a rheumatologist should be able to help you about your lupus concerns.
Dr. Ed Friedlander
Pathology 44 years experience
Treatment decisions: The real question is not "Do I have lupus?" but "How do I treat whatever this is?" There's no "magic bullet" for lupus and if it's not obvious, often the treatment is worse than the disease. The key is to manage your anemia to keep you able to function, and your thrombocytopenia to prevent serious bleeding. Decisions about administering immunosuppressants, IVIG, etc. are ahead. Be informed.

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A 35-year-old female asked:

Hi im anemic and my doctor want me to do iron infusion and colonoscopy , why?

2 doctor answers4 doctors weighed in
Dr. William A Biermann
Medical Oncology 46 years experience
Need more info: I suspect that your doctor has found that you have iron deficiency anemia. This is a very straightforward diagnosis to make. The colonoscopy is helpful to make sure that you are not losing it in the bowel. If oral iron is not helping then you might need IV iron to rapidly make up for what you can't get from pills.

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Last updated Jun 8, 2018
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