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Doctor insights on: Is It Safe To Subacute Cutaneous Lupus

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What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?

What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?

Oral agents best: Lichenoid lupus refers to a specific type if rash sometimes photosensitive, which is oftern red and raised. It occurs between the dermis and epidermis under the microscope. Discoid may also start as a red area but will cause atrophy and scarring. The best treatment is usually the oral agent plaquenil (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more

Cutaneous (Definition)

Skin is the largest and one of most complex organs of body. 3 layers: epidermis (outer), dermis (main part) and subcutaneous layers covers entire body, contains many specialized cells, maintains body temp, gathers sensory info from the outer world, has extremely important immune functions. It can give crucial clues as to what is internal. Dermatology and plastic surgery are ...Read more


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Is it possible for rhodiola rosea to cause hashimoto's thyroiditis in somebody?

Is it possible for rhodiola rosea to cause hashimoto's thyroiditis in somebody?

Unlikely: I cannot identify any cases implicating rhodiola as a causative factor for autoimmune attack of the thyroid. Long-term safety data is not available. Rhodiola is used in Eastern medicine to treat symptoms of hypothyroidism (fatigue, depressed mood, concentration). I cannot form an opinion as to its effect. ...Read more

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Why are steroids used in subacute thyroiditis although it is due to infection?

Reduce inflammation: To reduce the inflammation if it is swollen and tender -- however, the inflammation often returns when the steroids are stopped. ...Read more

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Is it safe to get a tattoo with moderate systemic lupus (not in remission)?

Is it safe to get a tattoo with moderate systemic lupus (not in remission)?

No: Since getting a tattoo is purely an option and not an urgent need, i would wait. Though a small tattoo may not cause a problem, getting a tattoo is a stress on the body and it creates inflammation. Lupus is an inflammatory disease that worsens with stress so why test it if the lupus is currently active. ...Read more

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Is sjogrens ever secondary to hashimotos or is it only considered secondary when ctd is present? Is it sjogrens that causes hashi in someone with both

Is sjogrens ever secondary to hashimotos or is it only considered secondary when ctd is present? Is it sjogrens that causes hashi in someone with both

Different: Patients with collagen vascular disease are at high risk for developing autoimmune thyroid disease. By itself, hashimoto's is very common and not usually a foreboding for other autoimmune disease, though risk is somewhat higher than that of general population for other autoimmune problems. Sjogren's and hashimoto's are caused by different antibodies, but both are autoimmune. ...Read more

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What is the treatment for subacute cutaneous lupus?

No sun, some Rx: Sun protection, topical steroids. If no better in 2-4 weeks, cortisone injections into the lesions or topical calcineurin inhibitors. If still no better in 2-4 more weeks, oral hydroxychloroquine, an anti-malarial medication. There are even further treatment for refractory cases but the above usually works. ...Read more

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What is an alternative to prednisone for erythema induratum (nodular vasculitis)?

What is an alternative to prednisone for erythema induratum (nodular vasculitis)?

Watch out for TB: Nodular vasculitis can be difficult to treat, and there are alternatives to prednisone, like nsaids and cellcept (mycophenolate mofetil). One of the important things to realize is that this condition is sometimes associated with tuberculosis. If you are using Prednisone (an immunosupressant) you want to make sure you don't have an infection causing your problem. See your dermatologist for a thorough evaluation. ...Read more

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Is it possible to have discoid lupus and systemic lupus at the same time?

Is it possible to have discoid lupus and systemic lupus at the same time?

Skin deep: Discoid lupus is a type of skin lupus. Most patients with it do not get systemic lupus. Occasionally people with systemic lupus get .Discoid lupus rash as part of their disease. ...Read more

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I have chronic lymphoproliferative disorder w/cll vs follicular lymphoma. Is it safe to get a shingles vaccination?

I have chronic lymphoproliferative disorder w/cll  vs follicular lymphoma.   Is it safe to get a shingles vaccination?

Probably: The degree of immunosuppression the average patient with cll has isn't bad enough to worry about getting disseminated zoster infections from the vaccine, but your physicians know your particular condition and how healthy or sick your immune system is. Ask them, especially your oncologist. ...Read more

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How common is it to have lupus Rheumatoid arthritis and hasimoto thyroiditis?

Uncertain: When more than one autoimmune disorder occurs in a person, it is often called mixed connective tissue disease. The combination however is not well defined but lupus is always included. In a Norwegian study, the prevalence was 3.8/100,000. http://ard.bmj.com/content/70/6/1047.short ...Read more

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Is it safe to run with peripheral artery disease?

Is it safe to run with peripheral artery disease?

Yes: Yes. As long as you can tolerate the pain, any form of regular exercise is actually a good thing and will increase your endurance. ...Read more

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I might have discoid lupus erythematosus. What is it like to be a patient?

I might have discoid lupus erythematosus. What is it like to be a patient?

Your personality: Discoid lupus is a relatively benign disorder and can usually be treated with medication. Different people have different reactions to a diagnosis and their responses vary as with any other life event. If your concern is about being a patient with dle, you should consider yourself fortunate that you do not have a more serious illness. ...Read more

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What is rosacea? Is it related to lupus or a symptom of lupus?

What is rosacea? Is it related to lupus or a symptom of lupus?

No: Rosacea is not a part of lupus erythematosus. It is a poorly understood skin disorder that affects 16 million Americans. Try www.rosacea.org for more information on the disease and possible causes and treatment. ...Read more

Dr. Emily Altman
13 doctors shared insights

Subacute Cutaneous Lupus (Definition)

This is an autoimmune disease which is exacerbated by sun exposure. It includes a rash on sun exposed areas such as the face, chest, and arms. It may be seen in Inc. his and in adults. It is often associated with abnormal immunology studies such as an SSA and SSB autoantibodies. The treatment differs versus on the severity of the skin lesions and includes both ...Read more