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Doctor insights on: Can Chronic Acne Be Sign Of Infection In Lupus Patients

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Recent research found 40% of people with chronic back pain had treatable infection which could be treated with co-amoxiclav. Could this be diagnosed?

Recent research found 40% of people with chronic back pain had treatable infection which could be treated with co-amoxiclav. Could this be diagnosed?

Disciitis: Many patients who suffer ruptured discs turn out to have infections locally, and this may well explain why post-operative chronic low back pain persists, if not treated. May be a bit tough to pin down, but certain varieties of bone scans may help. Discuss with an infectious disease specialist and a neurosurgeon. This is a new discovery and not all the issues are worked out so far. ...Read more

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Dr. Eric Weisman
9 doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more


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Can chronic eczema be a sign of lupus, especially with a family history of lupus?

Can chronic eczema be a sign of lupus, especially with a family history of lupus?

No!: Eczema is not associated with lupus. In my practice I have many patients with psoriasis & eczema with positive anas.They do not have arthritis, and clearly not lupus or related disease. On the other hand, both eczema and psoriasis affect 10% of the population. With that, one would think that 10% of sle patients have these skin diseases, but though common, just by chance, but they are not related. ...Read more

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Dr. John Chiu Dr. Chiu
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Prednisone is most likely to be indicated in the management of systemic lupus erythematosus due to what?

Dr. John Chiu Dr. Chiu
2 doctors agreed:
Prednisone is most likely to be indicated in the management of systemic lupus erythematosus due to what?

Antiinflammatory: Prednisone suppresses inflammation and thus it is intended to control the inflammation resulting from many diseases including lupus and rheumatoid arthritis. It is not a cure or specific for any disease , just a temporary solution. Long term high-dose prednisone can lead to many serious side effects. ...Read more

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People with chronic bacterial skin infection typically have what symptoms?

People with chronic bacterial skin infection typically have what symptoms?

Pus, swelling: There will be skin infection around hair follicles varying in size from pimple to large abscess. Typically this is caused by staph or strep. It requires antibiotics and recurrence rate can be decreased by antibacterial soap such as lever 2000, phisohex, phisoderm, hibicleans.S periodic baths with dilute clorox 1 cup per tub will decrease bacteria. ...Read more

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Can you tell me: are throbbing, painful feet a symptom of kidney failure in systemic lupus?

Can you tell me: are throbbing, painful feet a symptom of kidney failure in systemic lupus?

Depends: Painful feet can be due to arthritis or nerve damage in lupus. If kidney failure is severe, it can cause burning and tingling of feet. Check with your rheumatologist- kidney function and serum activity of lupus. ...Read more

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Patient is diagnosed with acute panchreatitis panchreas failed completely infection in lungs and selling in body due to retention of fluids?

Patient is diagnosed with acute panchreatitis panchreas failed completely infection in lungs and selling in body due to retention of fluids?

What is the question: It sounds as if the patient described is critically ill and without more information there is no way in which to predict outcome. There are numerous causes for pancreatitis and the complications of pancreatic failure can be life-threatening. I wish the patient the best. ...Read more

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Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?

Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?

Two questions: 1) no hashimoto's thyroiditis is a auto- immune disease which does not cause immune suppression. 2) chronic use of steroids ( prednisone) can cause immune-suppression and can modify response to PPD ( TB test). ...Read more

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Can IgA and resolving post-infectious glomerulonephritis be differentiated without biopsy? Also, can the acute onset of post-inf gl be asymptomatic?

Can IgA and resolving post-infectious glomerulonephritis be differentiated without biopsy? 
Also, can the acute onset of post-inf gl be asymptomatic?

Need a biopsy: Both IgA and post infectious gn may look similar even on biopsy. Without biopsy can be different in presentation . Post infectious gn can be without symptoms. ...Read more

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Is hidradenitis suppurativa because of infection? How can the pain be handled in patients who can't have NSAIDs?

Is hidradenitis suppurativa because of infection? How can the pain be handled in patients who can't have NSAIDs?

Hidradenitis.: Hidradenitis suppurativa is a bacterial infection. A rather stubborn one at that. May respond to a combination of antibiotics (Augmentin and Cipro, assuming you’re not allergic to them). In some cases surgical excision of the infected glands is necessary. NSAIDs will offer you no curative benefit. ...Read more

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Can psoriasis be part of having lupus?

Can psoriasis be part of having lupus?

See below: On rare occasions they can overlap but Plaquenil (hydroxychloroquine) can make psoriasis worse. ...Read more

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Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Yes, but...: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends continued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more

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Can you be diagnosed with lupus with +ana homogenous pattern, inflammation shown in skin biopsy and symptoms that all point to lupus?

Can you be diagnosed with lupus with +ana homogenous pattern, inflammation shown in skin biopsy and symptoms that all point to lupus?

It depends: Nobody knows what lupus actually is, so it's diagnosed by criteria. http://www.rheumtutor.com/2012-slicc-sle-criteria/ i need to give you 2 heads-up -- homogeoneous ANA pattern may be a lab error, and people who think they have lupus but don't meet the criteria tend to have a favorable prognosis. Wishing you the best -- the "brain fog" does make me think of lupus. Be strong ; stay proactive. ...Read more

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With acute diffuse proliferative glomerulonephritis caused by systemic lupus erythematosus, why would a patient have uremia and hyperkalemia?

SLE DPGN is bad.: The degree of remaining renal function dictates the inability of the kidney to excrete waste products and manage potassium levels. In any severe kidney disease when egfr approaches 15 ml/min uremia and elevated k+ levels are frequently noted. ...Read more

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Is it likely that chronic fatigue can cause a exacerbation of flu symptoms, particularly aching?

Is it likely that chronic fatigue can cause a  exacerbation of flu symptoms, particularly aching?

Depends on: The etiology of cfs, if due to a virud like ebv, then would have flu like symptoms. ...Read more

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Can u name a few autoimmune diseases that can cause joint pain pos ANA fatigue and recurrent kidney infections?

Can u name a few autoimmune diseases that can cause joint pain pos ANA fatigue and recurrent kidney infections?

Too many: Many autoimmune diseases can cause the symptoms you described except for kidney infection. However they can cause kidney damages. Lupus, Rheumatoid arthritis, MCTD..just to name a few. ...Read more

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In my late 30s with SLE with secondary sjogrens syndrome.Had symptoms for years.I have no organ involvement. Is the likelihood of this very minimal?

Prognosis of: both lupus and Sjogrens is unpredictable. If your condition is stable and well-controlled, it should continue that way indefinitely. Ask you rheumatologist for more specific advice, because there is tremendous case by case variation. ...Read more

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What our risks and symptoms related to prolonged bacterial infection that is systemic from tooth abscess and infections. Over 2 years?

What our risks and symptoms related to prolonged bacterial infection that is systemic from tooth abscess and infections. Over 2 years?

Lots of risks: Having a long standing infection untreated in your body is not a good thing. You need to get rid of the infections- either via extractions or root canal treatment. If left untreated, the bacteria can enter the bloodstream ; cause septicemia- blood poisoning. This can lead to heart issues and in rare situations death. Dental infections need to be treated. ...Read more

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Dr. Ed Friedlander
2,182 doctors shared insights

Acne (Definition)

A common skin condition that causes red or white raised pimples, especially on the face, chest and back. Caused when the sebaceous glands in the skin ...Read more


Dr. J. Lawrence Dohan
2,501 doctors shared insights

Pimples (Definition)

A pimple is a small inflamed spot on the skin. Also known as zit, ...Read more