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Doctor insights on: Dialysis And Plasmapheresis For Systemic Lupus

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Plasma Exchange (Definition)

Plasmapheresis(plasma exchange) is a process involving the following steps: 1.Whole blood is withdrawn from the person. 2.The liquid portion or plasma is removed from the blood and replaced. 3.The blood, with all its red and white blood cells, is transfused back into the person. Usually made by an automated procedure and in precense of especialized healthcare ...Read more


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What are some alternative therapies for sle (systemic lupus erythematosus)?

What are some alternative therapies for sle (systemic lupus erythematosus)?

None: Diet and omega 3 fatty acids may help but there are no specific vitamin or herbal supplements for sle. Avoiding sugar and dairy is helpful for some people. Omega three fatty acids along with vitamin c and b complex may reduce symptoms. ...Read more

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What are the tests for systemic lupus erythematosus?

What are the tests for systemic lupus erythematosus?

Positive ANA and...: Positive ANA and a positive double stranded dna antibody titer of significance. This coupled with clinical criteria is the least required for diagnosis. ...Read more

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

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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What is treatment for systemic lupus erythematosus?

What is treatment for systemic lupus erythematosus?

S L E : Systemic lupus erythematosus is an auto immune disease, that can affect skin, joints, kodneys, brain, and other organs.Auto immune means bodys immune system mistakenly attacks healthy tissues it is treated with steroids and non steroidal anti inflammatory meds, avoid sun and wear protective clothing. Cytotoxic drugs if you do not respond to cortico steroids cytotoxics have side effects need to be monit. ...Read more

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What is the treatment for systemic lupus erythematosus?

What is the treatment for systemic lupus erythematosus?

Many: Start with hydorxychoroquine dosed at 6.0mg/kg of body weight. Steroids id necessary for a flare. Other drugs that work well are azothioprine, cyclosporine, cellcept, (mycophenolate mofetil) and benlysta. More recently, some papers have touted rituxan. ...Read more

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Why hydroxychloroquine is effective in treating systemic lupus erythematosus?

Why hydroxychloroquine is effective in treating systemic lupus erythematosus?

It is magic?: 1the use of anti-malarials in autoimmune diseases was accidentally discovered in treating wwii vets for malaria. Those with RA improved. Chloroquine and ho-q were tested in sle, with very positive results. In the early 80's canadian researchers definitively showed fewer sle flares with ho-q. It is considered the rx of first choice for :sle. We now understand more of the mechanisms, but not all. ...Read more

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Lupus nephritis and liprinosil ok treatment?

Lupus nephritis and liprinosil ok treatment?

Probably yes: There is no reason why Lisinopril cannot be used to treat high blood pressure in patients diagnosed with lupus nephritis. In fact, it may be the drug of choice in lupus patients who are also spilling protein in their urine. It may be need to be used with some caution in those patients with more advanced cases of lupus-related kidney disease as it may contribute to high levels of potassium. ...Read more

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What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?

What is.The.Prognosis for a esrd patient with diabetes, and septic arthritis, pneumonia and went into cardiac arrest?

Difficult to manage: The description given puts this person in a very critical situation. What is described appears to have overwhelming infection that is overwhelming the body's ability to sustain itself. There is hope if the patient did not damage the brain when the heart stopped and the infection can be eradicated. Even if this person should recover, the long term prognosis would be poor for good quality of life. ...Read more

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Cellcept (mycophenolate mofetil) for patients with antibody-negative myasthenia gravis; is it worth a trial?

Cellcept (mycophenolate mofetil) for patients with antibody-negative myasthenia gravis; is it worth a trial?

Yes: It is not clear exactly how the autoantibodies work. Antibody identification may not be 100 % and there may be other antibodies that have not been detected. Depending on what therapy has been tried CellCept (mycophenolate mofetil) may be appropriate. This is best discussed with your physician. ...Read more

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What is 'systemic lupus erythematosus' in clear tems?

Autoimmune disease: A disease in which your body makes antibodies against your own cells. These antibodies cause destruction and inflammation which produce a wide variety of symptoms depending on what cells are being injured. There are some common symptoms and signs with the disease, but just about any symptom could be produced by lupus. ...Read more

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Why would a rheumatologist prescribe Fosamax , plaquenil , calcium with vitamin d for systemic lupus ? Is this the right treatment for moderate lupus

Why would a rheumatologist prescribe Fosamax , plaquenil , calcium with vitamin d for systemic lupus ? Is this the right treatment for moderate lupus

Not unusual but...: Placquenil is a standard treatment ; vit d is helpful in autoimmune disease ; can prevent osteoporosis (as can calcium). Those with lupus are at increased risk of osteoporosis (esp. If put on steroids) but it is questionable if Fosamax (alendronate) is helpful for preventing rather than treating it. I personally question Fosamax (alendronate) but would add vit. K- see http://bit.Ly/1a48ofs see my comments for other ideas:. ...Read more

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What to expect with a diagnosis of purpura fulmicans and lupus anticoagulant?

What to expect with a diagnosis of purpura fulmicans and lupus anticoagulant?

Catastrophic APS Syn: You must get the full panel exam for an antiphospholipid syndrome like labs and good history and physical. Aps can lead to arterial and venous thrombosis, frequent miscarriages and may need Coumadin (warfarin) - blood thinner. ...Read more

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Is opc3 safe for someone with lupus and low kidney function?

Is opc3 safe for someone with lupus and low kidney function?

Waste of money: Safe or not there is nothing in this product you need to be taking. If you are eating a diet rich in fresh fruits and vegetable and lean meats you are getting all the antioxidants you need. As well this product contains a high amount of potassium, which could be dangerous for someone with kidney disease. ...Read more

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Sle pt on cellcept (mycophenolate mofetil). If cellcept (mycophenolate mofetil) can cause increased bun why is it used for lupus nephritis? Also can it increase creatinine?

Sle pt on cellcept (mycophenolate mofetil).  If cellcept (mycophenolate mofetil) can cause increased bun why is it used for lupus nephritis? Also can it increase creatinine?

Because it works: Cellcept (mycophenolate mofetil) is the preferred drug for lupus nephritis because it is very effective and has much less risk than alternative meds. It does not cause significant elevations of BUN or creatinine. ...Read more

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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

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mycophenolate mofetil and prednisolone are used for treating chronic kidneydisease is this correct treatment along with BP medicines

mycophenolate mofetil and prednisolone are used for treating chronic kidneydisease is this correct treatment along with BP medicines

See below: Those drugs are used to prevent rejection after kidney transplantation and for lupus nephritis. If you have either of these conditions, the treatment is appropriate. You mention that you smoke. The incidence of heart attack is much increased in these conditions and made much worse by smoking-I urge you to stop. ...Read more

Dr. Quresh Khairullah
524 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


Dr. William Singer
15 doctors shared insights

Plasmapheresis (Definition)

It is a procedure whereby blood is taken out of the patient the blood cells are separated from the liquid or plasma and then the blood cells are given back to the patient. This is often used to treat disorders of the immune system. Antibodies from the immune system are ...Read more