Doctor insights on:
Need To Subacute Cutaneous Lupus
Skin is the largest and one of most complex organs of body. 3 layers: epidermis (outer), dermis (main part) and subcutaneous layers covers entire body, contains many specialized cells, maintains body temp, gathers sensory info from the outer world, has extremely important immune functions. It can give crucial clues as to what is internal. Dermatology and plastic surgery are ...Read more
Biopsy, blood test: Rashes are not always easy to diagnose. Simple acne or severe plaque psoriasis may not require further tests to diagnose the condition. In scle, the rash may require a biopsy which is the very best test. Blood tests may reveal a positive antinuclear antibody (ANA) and a positive ssa antibody. ...Read more
Can you explain the diagnosisof purpura fulmicans and lupus anticoagulant w/possible phophosilid syndrome?
No: This is a question that can be adequately answered only by complicated drawings, references to appropriate testing of several clotting factors, and analysis by a rheumatologist and a hematologist. In my patients such a discussion would take at least an hour. Hire a hematology consultant. ...Read more
Tests for cutan lupu: Extractable nuclear antigen known as ena, also known as antiro/la antibodies are aalways positive in patients with subacute cutaneous lupus and skin biopsy may be diagnostic.Direct immunoflorescence test may show positive antibody deposition along the basement membrane. ...Read more
Does chronic cutaneous discoid lupus eryhermyosolus turn systemic if you have positive ANA 1:1280 normally.
How do the rashes associated with annular lichen planus and subacute cutaneous lupus differ in appearance?
i have sarcoidosis, hashimoto's thyroiditis, nodular prurigo, & psoriasis. Should i see an immunologist? 67 woman w/mgus and more.
Yes.: Yes. With your medical history, seeing an immunologist would be prudent. ...Read more
If you have skin lupus is there a greater chance of you developing sle systematic lupus or can skin lupus progress to systematic lupus?
Yes and yes: Skin involvement may be the initial manifestation of systemic disease. However, it more commonly remains confined to the skin especially if it is no only manifestation for at least a year. ...Read more
Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?
Can lumbar spinal stenosis lead to vasospasms with Livedo Reticularis and Petechiae rashes present? Or must those two be from vascular disease?
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
Lupus autoimmunity: Yes.Get a more detailed answer ›
Same thing: These are similar depending on nomenclature.Get a more detailed answer ›
Yes but . . . .: Since pan is a vasculitis, it like the other rheumatological illnesses of this type can cause an associated neuropathy. It would be important to rule out other potential causes like medications, vitamin deficiencies, alcohol, infections, hereditary, diabetes, neurological conditions or vascular compromise. Others too. The onset, time course, distribution, and anatomy can help define it. Emg done? ...Read moreSee 2 more doctor answers
This is an autoimmune disease which is exacerbated by sun exposure. It includes a rash on sun exposed areas such as the face, chest, and arms. It may be seen in Inc. his and in adults. It is often associated with abnormal immunology studies such as an SSA and SSB autoantibodies. The treatment differs versus on the severity of the skin lesions and includes both ...Read more
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