Doctor insights on:
Is It Safe To Subacute Cutaneous Lupus
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
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
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
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
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
How is drug/alcohol-induced myocardtitis (i.E. Non-viral and non-autoimmune) treated? What's the danger in misdiagnosing it as pericarditis?
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
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
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
Is it safe to apply povidon iodine onto infected skin (patient has autoimmune thyroiditis, i.e. hashimoto's).
Povidon iodine: With Hashimoto's I would get your doctor's permission to do that. Do not be surprised if the answer is NO! ...Read more
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
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 moreSee 2 more doctor answers
Is there ever a swelling groinnlymph node response to 3wks on flurocinimide and 2 of desonide to treat evolving porokeratosis w/underlyingChron.Inflam?
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
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