Doctor insights on:
Is Mthfr And Lupus The Same Thing
I am 31, positive mthfr and lupus anticoagulant, chronic pain and swelling of joints&muscles but no rash. If it's not lupus, what is it?
MTHFR Gene mutation: If you'd like to do more reading on the health effects of mthfr gene mutation, here's a great article. .. http://doccarnahan. Blogspot. Com/2013/10/whats-big-deal-about-methylation-update. Html. ...Read more
Yes: There are certain medications that cause lupus like illness this type of lupus is not like regular systemic lupus erythematosus. If you stop the drug that causes drug induced lupus the lupus usually resolves. Regular lupus has many manifestations not seen in regular lupus especially kidney involvement and neurological involvement. They also have different laboratory tests. ...Read more
Just what causes the lupus butterfly rash? It's the craziest thing. Ever since dx, I get the rash but mine's flat. Looks like too much blush.
Dilated blood vessel: The redness is due to the increased blood flow with an increased number of tiny blood vessels. If you magnify the rash you will see these vessels. It is related to the inflammatory response to the skin with the lupus. Not all red facial rashes is lupus. Sometime the lupus rash can also be raised. Sun exposure emphasizes the rash and can increase it. ...Read more
Is low bp and lightheaded spells a common thing in people with lupus? I never had this issue before I had lupus?
Side effects: This could be side effects from medications we use for lupus rather than direct effects from lupus itself. Stay well hydrated, use suncreen, and follow up with your doctors as recommended. Best wishes ...Read more
Yes I have butterfly redness across my face. Dermatologist says its not rose. She put some type of thing to my face and said my skin reacts like lupus?
Time for diagnosis: You have three questions to ask the dermatologist. 1. Do I need further testing to arrive at a definite diagnosis? 2. What is the diagnosis? 3. What treatment is indicated? If you get vague answers, seek another opinion. ...Read more
No: There is no reason to stay away from them but there is also little reason to take them. ...Read more
I have some tracts of lupus & have fibroid 9cm. Been having some stomach issue with some food. Is endoscopy needed and a good thing to do?
Not enough info: No one could tell you one way or the other based on the scanty info you provided. Ask your own doctor that question. ...Read more
I get a rash every summer when I go out in the sun that is on my arms around my elbows. The only thing that helps is elecon cream. Lupus related?
Could be: Could be, but most important issue is to stay out of the sun. ...Read more
What are the stages of Lupus? I have SLE and CNS. A lot of fluid retention lately and swelling. Actually the only thing good is my labs are all normal
Severity: Lupus has varying severity and manifestations. It can be active or inactive. We don't usually use the term "stages." What comes into question is the diagnosis of CNS lupus if your labs are truly normal. ANA lupus is rare given modern testing methods and with more severe lupus such as CNS lupus, one would expect positive dsDNA Ab and/or low C3, C4. Ask your doctor if that is your definite diagnosis ...Read more
Have lupus &athletic. Even on good days & no flare, I'm exhausted by 6pm &have no choice but to nap. Same thing after my 5 mile runs. Never had 2 before?
Dxd w/ MS in 2010, tried avonex (interferon beta 1a) & copaxone but it was stopped b/c bad reactions. Same thing w/ plaquinil for my lupus work up. What could do that?
OK, let's sort out.: Do you really have ms or do you have lupus, which can mimic, or do you have both? You need an experienced expert at a good medical school to sort this out. Once all is clarified and confirmed, and indeed if you have ms, do not use the old washed out drugs; rather, consider one of the orals or tysabri (natalizumab). Regardless of diagnosis, you should be taking supplemental vitamin d. Get a new opinion. ...Read more
Abd pain, nausea for months. Med history includes lupus. MD wants to look at gall bladder, etc Ordered NM PET scan. Is that the same thing as HIDA scan?
Almost: Used to assess function and structure of hepatobiliary tract (including gallbladder), wish you all the best ...Read more
Just dx with lupus. I am losing hair joint pain tired at times elevated CRP protein urine. Is there a such thing as early stage disease? Will I flare?
Yes but: You may not be at the early stage. Contact your rheumatologist now to get the proper treatment before further organ damage occurs. ...Read more
Mother had lupus and died suddenly of autoimmune hemolytic anemia that caused cardiogenic shock. Is that a lupus thing or do I need 2 worry. I have ra?
Not likely: Why worry about 3 disorders, as you likely possess one unifying diagnosis to explain your problems. A good place to start is with an endocrinologist to deal with diabetes and the complications secondary to this. Focus on these issues, and later, if things seem peculiar look into co-morbities. Lastly, if you possess diabetes and lupus, doubt you have ms in addition. ...Read more
Both my mom and aunt have been diagnosed with lupus, should I get checked for it as well? Since I know it’s hereditary
Rheumatologic issues: The specific diagnosis of lupus wouldn't run in families as much as the tendency towards rheumatologic conditions in general - that tendency runs in families - lupus, rheumatoid arthritis, Sjögren's syndrome, scleroderma. Can find all of these in family lineages. Have a good history/physical exam/blood testing coordinated by Rheumatologist. ...Read more
My dsdna double strand reference was 3.45 and very symptomatic. S this a positive for lupus how is it scored?
Possibly: This is one of the many blood tests used to diagnose lupus. You should consult your rheumatologist to have them run a full battery of tests ...Read more
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