Doctor insights on:
Lupus And Orthodontic Treatment
An orthodontist is a dentist who has had additional years of schooling in the discipline of facial and oral structures. They use braces and appliances to align the jaws and teeth for proper form and function. Straighter teeth not only look good, but also allow better oral hygiene, less periodontal ...Read more
Many!: Many options, depending on severity and your current treatment. Pulsing IV steroids at high dose, cellcept, (mycophenolate mofetil) benlysta, azothioprine, cyclophosphamide, azothioprine, Methotrexate are all options, alone or in combination. Your treatment should be coordinated by someone in rheumatology and/or nephrology! ...Read more
Probably yes: There is no reason why Lisinopril cannot be used to treat high blood pressure in patients diagnosed with lupus nephritis. In fact, it may be the drug of choice in lupus patients who are also spilling protein in their urine. It may be need to be used with some caution in those patients with more advanced cases of lupus-related kidney disease as it may contribute to high levels of potassium. ...Read more
S L E:
Systemic lupus erythematosus is an auto immune disease, that can affect skin, joints, kodneys, brain, and other organs. Auto immune means bodys immune system mistakenly attacks healthy tissues
it is treated with steroids and non steroidal anti inflammatory meds, avoid sun and wear protective clothing. Cytotoxic drugs if you do not respond to cortico steroids
cytotoxics have side effects need to be monit. ...Read more
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
Not usually: It will most often resolve on its own. ...Read more
Lupus nephritis is produced when autoantibodies cause inflammation of the kidney glomeruli and tubules. It is one of the organs affected by lupus
Often a biopsy needed to determine severity and prognosis-class I, II, III, IV, V, and VI, with six being the most severe. Treatment includes corticosteroid, azothioprin, cyclophosamide, mycophenelate mofetil, cyclosporin. Dialysis. Remission can occur. ...Read more
Why don't men want to go to doctors? My husband has discoid lupus, and I feel I have to drag him in to be seen. What will happen to him without treatment?
Please be specific: Which part of the body is swelling? Your legs? Your joints? The treatment will depend on location and cause of it. ...Read more
Can't tell: The longevity in these two diseases actually depends on how active they are. Lots of people do well for long since the disease underwent a spontaneous remission or a remission after therapy. ...Read more
See below: Posterior reversible encephalopathy syndrome is characterized by headache, confusion, seizures, visual loss and M.R.I. showing characteristic lesions. It is seen in lupus and treatment is treatment of lupus, treatment of coexisting hypertension, and treatment of kidney failure or eclapsia if it exists. You should be and probably are in the good hands of a Rheumatologist, Neurologist and others. ...Read more
I'm just wondering, if you have lupus and sarcoidosis and you refuse treatment. How long could you live for?
It depends: It depends on the organ involvement. Talk to your rheumatologist who knows your case best and he or she could give you a better estimate. ...Read more
Is it normal w/lupus that even if treatment is working, most days are good, &labs look good to still get occasional bad days related to condition? Why?
Not enough info: What do you mean by bad days and what specific issues do you mean? But yes, there can be occasional days with increased symptoms even if the control is otherwise good. ...Read more
PMLE: The exact cause of polymorphous light eruption isn't well understood. The rash appears in people who have developed a sensitivity to ultraviolet (uv) radiation from the sun or other sources, such as tanning beds or tanning lamps. This sensitivity results in sunlight-induced immune system activity that produces inflammation and a rash. No patients with pmle have progressed to lupus. ...Read more
Can become inactive: Lupus is a poorly understood autoimmune disease which requires long term treatment and monitoring. The best results come when patients work well together. Each person is different. Not unusually, there will be periods of disease activity followed by long periods of inactivity. Many cases stay inactive and are considered "burnt out" as opposed to those that continue to "flare". ...Read more
What the point to biopsey I have lupus, why do I have to have a biopsey. My blood levels have been adnormale for 4 months. I want to take all these new drug treatment for lupus other then predison.
Mild lupus-no pred!: Most of my patients with systemic lupus respond quite well to Plaquenil (hydroxychloroquine) and ridaura (oral gold). Imuran also works well, as does methotrexate. All are not "new" drugs, which the vast majority do not need! Prednisone is used for severe systemic issues in high doses, or small doses for rescue therapy. ...Read more
What type of treatment can be given when lupus-like symptoms do not quite warrant a diagnosis? Do I have to wait for a true diagnosis to get relief?
A correct diagnosis: Get a correct diagnosis now. People with lupus can have a variety of symptoms that can be present in other conditions. If you do not have lupus you have something else. This needs to be defined and then you get help now. Waiting for a diagnosis that you may never get is not going to help you. ...Read more
Skin sarcoidosis!: Lupus perneo is a manifestation of sarcoidosis, usually seen in chronic disease. Intra-lesional steroid injections can help, as can systemic therapy. Sarcoidosis is an autoimmune disease that can affect many organs, but more common and serious, the lungs. This disease needs rheumatologic management. The new tnf-alpha inhibotrs seem to work quite well, although this is off-label use! ...Read more
Less sun, some Rx: Sun protection, topical steroids, avoidance of any drug which may have provoked the dle. 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
Is it true Hydroxychloriquine is not indicated in the treatment of Discoid Lupus for flare up? And in fact long term use is only indicated for SLE?
According to drugs. Com Hydroxychloriquine is used for SLE and Rhematoid Arthritis.
As you know it is also used for Malaria treatment.
Doctors can prescribe medications what is called off label. They may have seen improvement and know from experience that the medication is safe and effective.
Hope that is helpful to you.
Dr Lori Lange ...Read more
My mother in law was just diagnosed with lupus in Colombia and they haven't given her much information or a treatment plan. What should we expect.?
Depends on severity: Treatment for lupus is dependent on the activity of the disease process which may lead to organ damage if left untreated. Thus you will need to find out more about her disease activity, her blood test results etc before anyone can provide you with guidance. Do note that HealthTap is not the site for specific Rx recommendations. ...Read more
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