Doctor insights on:
Parathyroid Disorder In Lupus
Yes and no: Parathyroid disorder can occur in anyone but it could also be hereditary (that is if a family member has hyperparathyrodiism, you are at higher risk of developing the disease). There is also a condition called men (multiple endocrine neoplasm) that can increase your risk of parathyroid disease if someone in your family has it. ...Read more
There are several...: Symptoms are related to an elevated level of parathyroid hormone, which causes a high blood calcium level. Minimal symptoms are present until the calcium level is so high as to cause kidney stones, GI "moans" (constipation, nausea, belly pain), psychic "groans" (confusion, dementia, depression, etc.), and pain in the bones, including diffuse bone pain and fractures. ...Read more
Osteoporosis: If an adenoma on the gland develops (usually only in one of the four), there is excess absorption and mobilization of calcium, which can result in enough loss of bone to risk fragility. If there is inadequate hormone, the opposite happens and low blood calcium can result in muscle contraction issues. ...Read more
Many: If it's hyperparathyroidism, the best treatment is surgery. Medications and possibly alcohol injection can be used but these are inferior to surgery and only considered when surgery is refused or contraindicated. If it's hypoparathyroidism, the treatment is calcium and vitamin d (both inactive and active) replacement. ...Read more
Negative feedback: Sensipar (aka cinacalcet) helps the parathyroid gland respond better to calcium in the blood stream. The presence of calcium typically slows down the parathyroid gland as the gland wants to increase calcium levels in the blood. The gland will produce PTH (parathyroid hormone) to help increase calcium levels. With the drug, the gland isn't as active and PTH levels are lower. ...Read more
Overactive: An over active parathyroid gland, or hyperparathyroidism, can cause weak bones, broken bones, kidney stones, pancreatitis, stomach ulcers, abdominal pain, fatigue, depression, forgetfulness, and anxiety. A normal parathyroid gland is about the size of a grain of rice or a pea. An abnormal gland is about the size of an olive. They are nearly impossible to feel on normal examination. ...Read more
My dr. Won't check pth because my calcium levels are consistently normal. Will calcium always be elevated in parathyroid disorders?
Parathyroid test: Parathyroid levels are very closely reflected by your calcium levels my impression is you are concerned about over active and general totally normal calcium is enough there are rare cases where actual assessment by direct measurements is of value in a fair number of patients with vitamind insufficiency we see high PTH levels which is a costly way to decide all of us need calcium and vitamin d. ...Read more
I have no thyroid disease but every night I feel heavy pressure on my neck this really so so bad, could this be from lupus and how to manage?
I have systemic lupus and sj%f6gren's syndrome, no thyroid disease, many days now I feel heavy pressure on my neck this is awful how to manage & causes?
Can invasive spine surgery with lots of neck and arm pain and stress on body bring on symptoms of MS or lupus? Can is allow a disease to manifest?
VERY DIFFERENT: Both ms and lupus are immune mediated inflammatory disorders, and your neck issues most likely due to degenerative or traumatic etiologies. None of these are related to each other, and in fact, your symptoms may indeed be due to post-operative complications such as scarring. An expert neurologist can readily sort out and categorize your issues, and may be worthwhile to have a consultation. ...Read more
I have some tracts of lupus and another autoimmune disease. I've been feeling stiff neck and jaw, and my head ache. Is that symptoms of the disease?
My son-in-law has lupus and he gets extreme discomfort in the neck and head. It feels like fluid. Is there any way to relieve that pain?
Who feels fluid?: Do you mean you feel his head and neck and you feel something like fluid and swelling, or he feels like there is fluid inside his head? Lupus can cause a lot of funny symptoms--his doctor can suggest something to help. If he has actual swelling, he needs to be checked. ...Read more
I have lupus and scleroderma and now I'm being tested for osteonucrosis but it doesn't explain the pain I have everyday in my head, neck and back.
See ortho: I presume you are already under the care of a rheumatologist. If you cannot get an answer from him, either get a 2nd opinion or consult an orthopedist. Having autoimmune disorders does not preclude you from getting the usually bone issues. ...Read more
I have lupus with arthritis. Am experiencing reduced neck mobility with grinding and popping with all neck movement. Should I be concerned?
Would lymphoma cause like just one or 2 palpable nodes or like many through out neck and head? Or if all over would it be more like lupus?
Dx = biopsy or...: You cannot determine to cause of lymph nodes without a clinical context (eg, they resolve on own or are enlarged from infection) or a lymph node biopsy. The differential diagnosis spans a-to-z -- http://www. Mayoclinicproceedings. Org/article/s0025-6196 (11)64620-x/fulltext. ...Read more
I get a headache everyday. I also get some type of pain such as back, neck, etc. Someone I know just passed from lupus? I'm scared I may have it too?
Lupus: Dear Tanaya: Lupus (or SLE) is a rare disease. It is unusual to present with headaches or back pain in lupus. So, the answer is no, you don't have lupus. You need to have an evaluation for your headaches; there are many potential causes and treatments for headache and your physician will guide you. Nisha ...Read more
See response below:
Night sweats can happen with disease activity/flare or infections, you need to check your temperatures and keep a diary and tell your rheumatologist,
if it only happened once, you do not need to worry about it.
Females can have thyroid problems which lead to heat/cold intolerance, patients need at least annual thyroid testing. ...Read more
I have psoriatic arthritis with features of lupus. The arthritis is in both hips, lower back and neck. What is my prognosis?
30 year old female cousin with long history of neck pain admitted to hospital yesterday with high fever and toe pain/swelling. Possible r.A. Or lupus?
I have a rash on my neck over my thyroid and have been running a low grade temp off and on for weeks. The rash looks similar to a lupus lesion, but not exactly. I have a brother with a type of lupus and I have dm2. Can it be lupus?
Probably not: Can't really tell from this brief description, lupus diagnosis isn't easy, several criteria have to be met, and blood tests to be checked, your doctor would help you with that. Low grade temperature on and off for weeks can be due to several other causes, wish you wellness ...Read more
Swollen gland under chin on right side, lymph node that sticks out, pain in neck and shoulders, Reynauds, anxiety, slightly elevated lupus scan.?
I had a biopsy of a reoccuring winter-time rash on my neck, and the results suggested possible cutaneous lupus. Can untreated sleep apnea raise risk?
No evidence: The is no evidence available that links cutaneous lupus with untreated sleep apnea. Sleep apnea tends to have more cardiovascular risks such as a heart attack, stroke or even contributing to blood clots. If there is a suspicion of sleep apnea, talk to your doctor about getting tested and treated. ...Read more
Chronic neck pain and pressure head aches worse when laying down or apon waking up. Waiting to see nurologist. What can it be? Lupus, sjögren's, fibro?
See details: This is very unlikely to be lupus or sjogrens. Fm is possibly if you have the other diagnostic criteria. ...Read more
I have undiagnosed lupus. We still take tests but I show many signs. I have recently noticed some new bumps on my forearm that are clustered together. I also have one on my neck and one on my breast.
Lupus?: Why do you think it is lupus? Have you consulted with a rheumatologist? If so and "many tests were done" and it is still "undiagnosed" then it most likely not lupus and there is something else going on. If you have not seen a rheumatologist, then it is time to do so and to trust the advice they give you. ...Read more
I have lupus and GERD I feel pressure on my neck no lumps but annoying feeling can not sleep should I go to ER or how to manage it?
I pop and crack--knees, neck, shoulder, hip, low back, and it is sometimes painful or brings upon soreness. Have lupus, but what could cause this?
JHS: 34yo fem. W. "pop & crack neck, shoulder, hip, low back" likely has Joint Hypermobility Syndrome. Joint crepitations are common with this disorder. However the pain sometimes aroused in this patient is not usual with JHS. Widespread muscle spasm might be explanatory or another pathology might be involved. A Rheumatologist would be the best specialist to answer this patient's question. ...Read more