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Doctor insights on: Lupus Treatment

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What is the best lupus pernio treatment on the nose?

What is the best lupus pernio treatment on the nose?

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

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What is the best treatment for lupus?

What is the best treatment for lupus?

A good doctor...: After reading some of the other answers from my colleagues... In my opinion the best treatments for lupus are a good rheumatologist; and more importantly...A positive attitude! ...Read more

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What are the stages of treatment for lupus?

It depends: It really depends on the systems involved and the severity of that involvement. Most start with Plaquenil (hydroxychloroquine) and add meds as the disease dictates. ...Read more

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What is the best treatment for lupus nephiritis?

What is the best treatment for lupus nephiritis?

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

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If someone has PRES because of lupus what is the treatment to make the PRES go away?

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

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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

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Best treatment for lupus anemia?

Best treatment for lupus anemia?

Control the SLE: The best therapy is to control the inflammatory process caused by lupus. ...Read more

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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.

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

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What are the treatment options for lupus?

What are the treatment options for lupus?

Steroids, antimalari: Localized lupus can be treated with topical medications. Systemic lupus may need oral steroids , antimalarials such as Plaquenil (hydroxychloroquine) or quinacrine. In resistant cases Methotrexate or rarely thalidomide. ...Read more