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Doctor insights on: Helping Family Cope Sle

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Can a woman with sle successfully have a family?

Can a woman with sle successfully have a family?

Often, yet: Women with sle can become pregnant and have children, but pregnancy can cause sle flares. Outcomes are best when a women's lupus is well-controlled before the pregnancy. Pregnant women with sle should be monitored and those who are "ssa or ssb" positive should have more frequent fetal ultrasound to check for rare transmission of lupus to the baby. ...Read more

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Told at 20 had high calcium, nothing done, 10.8 for last 2 yrs. Concerning? Other issues hypothyroid, venous insuff, migraines, family history sle

Told at 20 had high calcium, nothing done, 10.8 for last 2 yrs. Concerning?    Other issues hypothyroid, venous insuff, migraines, family history sle

Watch closely: You indicate that you are taking vitamin d and I am going to assume that the dose is not excessive. This is a minimal elevation of serum calcium and does need to be followed in case you have treatable parathyroid disease. Most likely you have familial hypocalciuric hypercalcemia, a slight genetic glitch in regulating calcium level. ...Read more

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I have sle & ra, which runs in my family. 17 ye old daughter complains of aches & pains, being overly tired, esp when out in sun, should II be worried?

I have sle & ra, which runs in my family. 17 ye old daughter complains of aches & pains, being overly tired, esp when out in sun, should II be worried?

Depends: The twin concordance data suggests that the genetic penetrance conveys about a 10-20% risk in lupus. Therefore there is less than a 10% chance that your daughter will have lupus someday. The screening test for lupus (ANA) will probably not differentiate her clinical status therefore i would not pursue testing at this time. If however she started to develop more signs then i would order an ana. ...Read more

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I'm symptomatic, ANA & anti-dsdna neg. W/ a strong family history of sle. Is it worth doing further testing like anti-sm (neg. For infection and iem)?

I'm symptomatic, ANA & anti-dsdna neg. W/ a strong family history of sle. Is it worth doing further testing like anti-sm (neg. For infection and iem)?

What symptoms: No tests needed, clear history, objective evaluation! do not make yourself sick because of family history. The familial connective tissue diseases usualy have positive antibodies. ...Read more

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ANA 1:640 nucleolar (lab range 1:160 borderline, 1:320 positive). No symptoms, all tests ok (capillaroscopy, blood, chest x-ray, abdominal & lymph node ultrasound) Family history (Mother MCTD, her cousin SLE). Drs say my ANA's familial. I fear cancer?

Observation: The positive ANA suggests that you are at a higher risk in developing an autoimmune disorder but is not diagnostic of any disease by itself. Thus you need to inform your doctor of this finding should you develop joint, thyroid, skin, intestinal , etc symptoms. Your risk for cancer is not higher because of the elevated ANA. ...Read more

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Results of lupus test positive. No family history so how is that possible?

Unknown cause: Many lupus patients do not have a strong family history of lupus. It appears lupus patients have a genetic predisposition for the disease and then something activates the gene for lupus. A virus or bacteria or something else in the environment could set the lupus off. We do not know the exact cause. ...Read more

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With a strong family history of lupus, and some symptoms arising would it be wise to be tested for it at the age of 27?

Yes it is wise to...: Lupus is so called the master of disguise..It can mimic so many different diseases and can cause quite a bit of disability if left untreated. It is not curable but treatable. Testing is simple and so it is wise to do so since you are reporting to have some symptoms already. It can have a negative impact on pregnancy as well..So, consult your doc..Good luck. ...Read more

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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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