Doctor insights on:
Can A Rheumatologist Diagnose Lupus
Just out of curiosity, how often do rheumatologists come across a new patient they diagnose with lupus? Is it rarely? A couple times/year on average?
Room For More Rheum:
Here's the set-up, you do the math: on average, about 5 cases per 100, 000 adult population in the U.S. get diagnosed with Lupus each year. There are about 250 million adults and 5000 rheumatologists in the U.S.
And the answer is: a)3 b)30 c)300 d)3000 e)all f)none
If you calculate (or guess) right, you win an all expenses paid trip to your favorite rheumatologist for any tests you'd like taken ...Read more
Just diagnosed with lupus. Seeing rheumatologist soon. What are some good questions to ask? Does this mean I might end up in a wheelchair?
Many: As lupus is a multisystem disease many organs can be affected and your questions should be geared to this. Overall your concerns should go to short term and longer term prognosis based on current findings and what your treatment options are. You always want to use the least amount of medication that is effective. ...Read more
How often should one with stable lupus and secondary sjogrens with no organ involvement see their rheumatologist?
3-4 months: This depends on the prior history of your disease, current medications, and current symptoms. Some mecications require more frequent monitoring. Prior problems may require a closer watch. In general 3-4 months if your only medication is plaquenil (hydroxychloroquine) and you are stable. ...Read more
My rheumatologist diagnosed with lupus/sjogrens overlap. Does that mean my symptoms don't fit into one disease category perfectly or that I have both?
If a dr suspects u have lupus but your lab work is borderline will a rheumatologist treat you for it to see if it helps?
Wait and see: Go to a rheumatologist. They have seen far more lupus then most doctors and they can best put together your clinical picture and your lab results. Lab tests are not the only thing that decides if you have lupus. ...Read more
I was recently told by my rheumatologist that my blood work is showing no lupus activity. What exactly does or can that mean?
Lupus or no lupus:
If the testing was done as a screen then lab tests alone cannot eliminate lupus as a source for joint pain symptoms.
If the testing was done to determine activity of a diagnosed condition then the the level of inflammatory byproducts often associated with active lupus was normal or low and may indicate response to treatment. ...Read more
What is borderline lupus? Rheumatologist stated I have this but what does this mean? I have a follow up scheduled but I'm so confused
Lupus IS confusing: After hearing your story and doing an exam the lab tests were ordered by your specialist. Sometimes the results are clear cut but frequently the results are conflicting or only marginally diagnostic. Your doctor will set up a diagnostic and treatment plan to make you feel better. Frequently this involves rechecking more labs in the future. This should be discussed at that scheduled follow up. ...Read more
Would it be appropriate to see a hematologist regarding elevated aptt and promethin levels that were done for lupus? Or should I see a rheumatologist
See below: Sounds as if you may have a lupus anticoagulant based on what you are stating which can be seen in the setting of lupus. If have not had a major clotting episode or stroke, you may not need to see the hematologist but your rheumatologist or your primary can make that call. ...Read more
I seen the rheumatologist on 8th january and had bloods tested for lupus sle. They're not back yet, how long does it take for the rheumatologist to ge?
2-5 days: Blood tests take 2-5 days to return depending on the specific tests ordered. ...Read more
My dr said my blood work shows smith antibody, but rheumatologist don't think it's lupus, then what is it?
See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. One autoantibody is not sufficient to make a diagnosis of lupus. It would be prudent to follow the advice from the rheumatologist. ...Read more
I was diagnosed by a rheumatologist as having fibromyalgia, my gp thinks it is either lupus or ms. How will they actually make a diagnosis?
My wife has lupus & fibromyalgia she sees a local rheumatologist to scant avail. Is there a clinic in na that specializes in these diseases?
This website should point you in the right direction:
http://www. Lupus. Org/newsite/index. Html. ...Read more
Rheumatologist just started me on hydroxychloroquine 200 mg twice aday for lupus. What's ur input advise on that? Any precautions, warnings to add plz?
Take the medication: Plaquenil (hydroxychloroquine) (hydroxychloroquin) is the first line therapy for sle. Unless specific problems dictate otherwise it is normally recommended for life, in every stage of sle, as mono therapy (by itself) or if needed as part of a treatment program using other medications. The main side effects are anemia (you should have a blood test periodically) and eye toxicity - you should have periodic eye exams. ...Read more
My rheumatologist confirmed that I am + anti DNA antibodies but he will not confirm it as lupus, what else could it be?
Many things: 1. Positive antibodies can proceed the onset of disease. 2. It could be a false positive. 3. Low titers, especially if IgA can be seen in healthy populations. Accuracy also depends on the type of test that was used whether it was ELISA or ria. No test in medicine is 100% and rheumatology tests are worse than most. ...Read more
ANA factor increased from 1:320 to 1:640 over 2 years. Rheumatologist says lupus tests clear. Thinning of sclera. Case of lupus and MS in family. Worried.
Need to examine:
Diagnosis of lupus depends on multiple criteria and it is best done by examining a person. You may visit this site for information: https://emedicine. Medscape. Com/article/332244-overview
It would better to discuss the matter with your doctor who knows your health status better.
Wish you good health! ...Read more
Blood test came back as follows: Anti-Double Stand DNA-14 IU/mL, (CH50)-63 U/mL. Rheumatologist says it is not Lupus, should I get a second opinion?
More information: Thr rheumatoid diseases are best diagnosed clinically. Go back to your doctor and discuss with him all your symptoms ...Read more
ANA1:320 DNA neg CCP neg RF neg. My rheumatologist believes I have RA but testing for lupus due to symptoms but all these blood tests are confusing.?
ANA positive: A lot depends upon what is going on. With a person's signs and symptoms and the suspected disorder, ANA testing may be used along with or followed by other autoantibody tests. Lupus is only one thing that may be ANA positive. Others are sjogrens and other autoimmune. Many symptoms overlap/positive ana further testing may be ordered. Speak to your DR Its what rheumatologists know a lot about! ...Read more
How often at minimal should lupus patient doing well with no issues & only on plaquenil (hydroxychloroquine) see their rheumatologist or atleast get labs?
It depends: There is no definite answer. It depends on prior organ involvement, the length of time one has had the disease, how long one has been in remission and the preferences of your rheumatologist. ...Read more
Neuro diagnosis MS on 7/21/14. My rheumatologist thinks I also have sarcoidosis or lupus. I had lesions biopsies today but all my blood work is neg. Possible
Comments: Sometimes, lupus, and less commonly sarcoidosis can mimic MS, but usually can easily be sorted out with blood studies or other diagnostic tests. Your skin lesions make me wonder about Lyme disease, another copycat. It is not rare to have two associated autoimmune disorders, so would agree with diligent workup. Gilenya (fingolimod) is a very good drug for MS, and may help stabilize most of this. ...Read more
Why would my rheumatologist prescribe cymbalta (duloxetine) for lupus when it's an antidepressant?
Is sulfasalazine considered a sulfa drug? Why would my rheumatologist prescribe it for me when I have lupus?
It does not treat: Lupus! Check what it is used for on the web. Talk to your doctor, you possibly may have been misunderstood! ...Read more
All Rheumatologist tests for SLE were negative but a dermatologists biopsy suggests Lupus. Why isn't my bloodwork showing anything?
Does a positive ANA 1:160 homogeneous test result for teen require further clinical review w/rheumatologist (mom recently dx w/lupus)?
Mgt: More details regarding the presentation, symptoms and other illnesses would be helpful in advising further studies. ...Read more
When should I change my rheumatologist for lupus? My doc put me on prednisone for a year, but I still have glare, lupus not getting better.
Define. "Glare": Not quite sure what you mean by glare......in addition there are subsets of lupus; do you have kidney involvement? ...Read more
I have a lupus and a sunburn with no visible symptoms I have joint pain and more tired then normal I cannot make it to my rheumatologist?
SLE, more active?: Gabriele: I just sent you a message about Gabapentin and SLE/kidney disease. You need to see a physician for a physical exam and blood tests to determine if your SLE is active. It's difficult to ask more questions or give more medical advice on the Health-Tap forum. Nisha ...Read more
I have a butterfly rash on my face and a positive ANA test. A rheumatologist said he doesn't think it's Lupus. Should I get a second opinion?
It's your right: To have a second opinion, and trust your rheumatologist too, Lupus isn't an easy disease to be confirmed, there are certain criteria for the diagnosis, rheumatologist are expert at such, good luck ...Read more
I have sjogrens/lupus. My temp is elevated (around 99.5). I'm really tired and my joints/ muscles hurt. How long do I wait to call my rheumatologist?
Depends: Depends on whether you are on any immunomodulatory drugs, if so, very soon, if not can discuss with your primary doctor. ...Read more
How likely is it to have both Lupus and MS? PCP says I have symptoms of both. Upcoming apts with Neuro and Rheumatologist. AnA neg with brain lesions.
Not likely: Both are uncommon. Vision problems with Topamax (topiramate) use is common (resulting in change in eye glass prescription) In my practice less than 20 percent of young people with T2 or FLAIR punctate lesions on MRI meet criteria for MS. A few have had what we call clinically isolated syndrome. Best of health to you. ...Read more
My rheumatologist wants me to see a hematologist because I've had some swollen lymph nodes. Do I need a hematologist or a PCP? It may be due to lupus.
Choice of specialty: You need to discuss this with the rheumatologist since they know far more info than you have provided here. It sounds as if the rheumatologist may feel that the node needs biopsy and wants another opinion. ...Read more
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