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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
Normal T3 (liothyronine) T4 TSH , free T3 (liothyronine) , free T4 but thyroid is enlarged and slightly painful ,, I also have systemic lupus under treatment .. any diagnosis ?
Thyroiditis: This likely an acute thyroiditis. Speak with your doctor about treatment options. ...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
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
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
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 moreSee 1 more doctor answer
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