Doctor insights on:
Lupus And Chronic Conjunctivitis
It's possible: The sinuses are connected to the eyes and ears, so it's not uncommon for them to be affected in chronic sinusitis. An eye md (ophthalmologist) can tell you exactly what the issues are causing the redness and rx appropriate therapy, but it's important to get your sinusitis under control as well. Nasal saline irrigation as well as nasal sprays can help. ...Read more
Many: There are many that can have flares. That is a hard question to answer if you are looking for a diagnosis based on just having a flare...? ...Read more
See: Subacute cutaneous lupus is a subtype of lupus that can have a lupus and be associated with positive antibodies for sjogren's as well as thyroid disease. Rarely, does it ever transition to systemic lupus. Hope that helps. ...Read more
ALLERGIC CONJUNCTIVI: Allergic conjunctivitis avoidance of known allergens is best. Tightening up your environment with dust mite barrier pillows and covers. Cleaning your air ducts. Meds: Zyrtec &LIVOSTIN. If symptoms persist add Zantac & Singulair (montelukast). If still symptomatic allergist consult for desensitization. ...Read more
Avoid the cause: The best way to treat any allergy is to identify the cause and avoid it. Somethings can't be avoided. That's where medication like mast cell-stabilizing eye drops and allergen immunotherapy (good old allergy shots) can make a huge difference. Start by consulting a board-certified allergist who can help you find the cause of your conjunctivitis. Try www. Aaaai. Org or www. Acaai. Org for help. ...Read more
Would you please cite some references of books etc on the subject of coping with chronic illness? I have lupus and it is hard to deal with.
Books on Coping: There are many books on coping with chronic illness. I hope you have already found them! Rather than simply coping, I also like to find books that give me perspective and insight. Dr. Remen's "kitchen table wisdom" is a classic, as is arthur frank's "at the will of the body." for couples, kivowitz and weisman's "in sickness as in health" is also packed with info and wisdom. ...Read more
Drops for allergies: There are many types of eye drops that are used to treat allergic conjunctivitis. A lot depends on the severity of your symptoms. Often, people do well using otc allergy drops on occasion, along with oral allergy medications. In order to help more significant allergies, doctors will prescribe steroid and/or antihistamine eye drops (e.g. Pataday, lastacaft, (alcaftadine) etc). ...Read more
Rheumatologist: Generally, these issues are handled by rheumatologists. ...Read more
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
Lupus ANA homogenous 1:649, speckled 1:120. Chronic flares pain. Mainly chest region. Pain disturbs function daily! Could this be lupus?
Does chronic cutaneous discoid lupus eryhermyosolus turn systemic if you have positive ANA 1:1280 normally.
What to do if I have been diagnosed with lupus for 4 years. My presenting complaint was profound and chronic fatigue and pa?
Lupus: Work closely with your doctor. Best of luck to you. ...Read more
Elevated ferritin levels, but I'm chronically anemic-missed 6 venofer injections, what are possible causes? Is lupus possibility?
What's going on?: If you have an elevated serum ferritin, then you are almost certainly not iron-deficient and should not be receiving injectable iron. It can kill you. I am not joking. Please get with someone who knows how to work up an anemia properly. I'm betting on one of the milder thalassemia variants, but there are literally hundreds of other possibilities. ...Read more
I have lupus. My sibling was diagnosed with chronic fatigue syndrome. Are the two related in any way?
Chronic pericardial effusion stable 26 yrs +Ana 3X’s then negative low lymphocyts nrml white count sed rate low no other symptoms ena all neg lupus?
Autoimmune: The symptoms you are describing certainly sound to be autoimmune in nature. I assume the pericardial fluid has been analyzed for infection (including TB) and there are no other unusual cells in the fluid. Patients can have autoimmune symptoms without a specific diagnosis being made. Treatment would still be needed. In the future other labs may become positive ...Read more
Can UCTD with elements of lupus/sjogrens cause chronic post nasal drip leading to vocal chord dysfunction?
Yes: Possible. Wegner's granulomatosis can be brought to picture... ...Read more
Could a chronic cough be one of the biggest symptoms in someone with lupus? Even with a clear chest x-ray?
Please help all of my doctors are stumped. What can cause systemic lupus like symptoms and chronic bouts of aseptic meningitis?
I have a chronic low WBC (3.8-5.4), positive ANA (1:320 speckled & 1:80 homogenous) & high monocytes (9.7-13.0). Could I have lupus?
Possibly: Possibly, but rheumatologic evaluation would be helpful. ...Read more
Chronic lupus with tension headaches and knots. Warm compresses are not working. What can I do for relief? Headaches are often. Tried heat pads.
See details: This is best answered by your rheumatologist as he/she is the one who knows the specifics of your lupus. If that is not helpful, see a neurologist. ...Read more
Can depression occur as result of trying to manage chronic condition (lupus)even after it's in remission with meds. I exercise but am always fatigued?
Yes, definitely: This is a very common condition. And it's something that can be helped. Don't simply seek an anti-depressant however. A complicated condition like Lupus requires careful mgmt of Rx (s) and a good Health Psychologist w/ experience in chronic condition self-mgmt will be helpful but best if they can coordinate w/ your medical Dr. Be hopeful - this is often very successful. Best! ...Read more
Chronic reacurring body aches, severe pain in back and chest with shortness of breath. Letting up then get "attacks", lupus? What else? What tests?
See a rheumatologist: The symptoms are too general to answer specifically. You need to consult with a rheumatologist who will then order tests appropriate for your symptoms and physical exam. ...Read more
Can chronic gastritis (not from hpylori) be from my lupus? Egd multiple times shows gastritis but no known reason... I wish I could drink coffee again
Chronic gastritis: Lupus is a possibility if no other cause found. It's an autoimmune disorder and there are causes of autoimmune gastritis causing acid producing cells to due resulting in gastric cell lining thinning and atrophy. A biopsy during egd may be helpful to determine the cause of gastritis. ...Read more
Diagnosed CHRONIC GIANT PAPILLARY CONJUNCTIVITIS. Have enzymatic cleaned contacts/not worn them. Eyes still closed w/pus in am. Bacterial?
What is likely to be the cause of an elevated CH50 but normal C3 & C4? My PCP tested me for lupus due to my chronic migraines & hypothyroidism...
Not much: Although an elevated CH50 suggests the presence of inflammation or infection, no diagnosis can be made from this finding alone Lupus is also diagnosed by clinical features supported by lab findings. Although hypothyroidism may be from an autoimmune disorder, I don't know why lupus is suspected absent any other symptoms. Migraine is not an autoimmune issue. ...Read more