Doctor insights on:
Shingles Vaccine For Autoimmune Diseases Patients On Methotrexate
Dose dependent: This judgement has to be made by the provider. Technically low dose Methotrexate is not considered a contraindication to receiving the shingles vaccine. But only your provider will have a full picture of your immune status. Shingles vaccine is a live vaccine and not given to those with significant immunosuppression. ...Read more
In auto immune disease the enemy is from with in . As name implies "auto" is self and "immune " is immune system . One 's own immune system for unknown reason turns against self and destroys or damages tissues or cells . List of auto immune disease are many and growing . End result is destruction of of tissues such as thyroid , pancreas or cells such as white ...Read more
Not knowable: I appreciate your concern, but this is the kind of data that can't be obtained by any means. Enbrel (etanercept) is an immunomodulator that may suppress the immune response which has a small impact on melanoma progress; it's also given for psoriasis in which the skin cancer risk is already up. It's worth the risk; do keep a close eye on your skin so that skin cancers get rx'd early & there' s no risk of death. ...Read more
Can hepatitis b vaccine give you rheumatic autoimmune diseases such as polyartheritis nodosa because my sister started getting symptoms shortly after?
Prescribed plaquenil (hydroxychloroquine) for P.A.- mild psoriasis + other conditions+strong fam history, what are chances of severe psoriasis outbreak from drug? Thanks!
If someone is misdiagnosed with sle & start using sle med (plaquenil, prednisone, imuran) will he get sle or any other disease?
Not a good idea: The shingles vaccincation (known as zostervax) is a live virus, therefore you would run the risk of infection from the vaccination itself. Any medication in the class of drugs like Humira (adalimumab) would be a no-no to receiving the shingles vaccine. This is the official published guidelines from rheumatologists that just came out in early 2012. ...Read moreSee 1 more doctor answer
I've been on humira (adalimumab) for Crohn's for 6 yrs. Now diagnosis w/ TB latent but it may be affecting other organs. What symptoms occur when TB affects other organs?
Varies widely: The symptoms vary widely depending on what organ system is involved and the degree of involvement. Latent TB has no symptoms by definition. Appropriate treatment should prevent symptoms from developing. ...Read more
Lupus autoimmunity: Yes.Get a more detailed answer ›
I have 4 auto immune diseases. Fibromialgia, candida, hashimotoes, lupus. Where can I go for help?
Rheumatologist: You must see a rheumatologist.Get a more detailed answer ›
What tests (beside TB test) and vaccinations are needed before starting first time remicade (infliximab) fusion for left-sided ulcerative colitis? Mmr vaccine?
Check hepatitis B: The risk of reactivation of tuberculosis and hepatitis b when taking Remicade (infliximab) obligates pre-treatment testing. Live vaccines can not be accepted while on the drug. Your doctor will no doubt be candid when discussing all the risks of "biologic treatment"--please discuss these with him before initiating this very efficacious and generally well-tolerated drug class. ...Read moreSee 2 more doctor answers
Not usually : The most common anti-inflammatories are nsaids and these are not considered immunosuppressive's. Corticosteroids may have somewhat of an immunosuppressive effect. And biologics which are used for autoimmune disease but not lyme disease can be immunosuppressive ad well as anti-inflammatory. ...Read more
Have still unidentified autoimmune systemic disease. No medication yet. Can a vaccine (PCV13/PPSV23) cause more trouble activating my immune system?
NO: It will not cause more trouble and will protect you from pneumonia. From a review in the Lancet comes the following statement:"As a general rule, patients with an autoimmune disease are not at risk of exacerbation after administration of any of the available vaccines. Conversely, several vaccine-preventable infections are known to negatively affect the course of defined autoimmune diseases"http://image.thelancet.com/extras/02art9340web.pdf ...Read more
+ana, - lupus tests, yet have 8/11 symptoms of lupus including severe blistering facial rash, antibiotics fail to help, ongoing <1yr, could plaquenil (hydroxychloroquine) help?
On arava (leflunomide) 20mg, enbrel 50mg weekly, methotrexate 25mg. Any other rheumatologist prescribed this for psoriasis/psor. Arthitis?I'm worried about my liver.
Follow laboratory: You are correct that liver problems are risk with this regimen. Your physician needs to be certain that you are followed closely and correctly. Your own responsibility is to refrain from alcohol, and be certain no additional medicines you take do not worsen this risk. If you are concerned you need to discuss this with your physician. There are other therapy choices available. ...Read more
Can late-stage Lyme, EBV, HHV6, or lead toxicity cause a malar rash? Blood test - for lupus. Skin biopsy - for rosacea but + for general inflammation.
The shingles vaccine protects your body from reactivation of a virus — the chickenpox (varicella-zoster) virus — that most people are exposed to during childhood. When you recover from chickenpox, the virus stays latent in your body. For unknown reasons, though, the latent virus sometimes gets reactivated years later, causing shingles. The shingles ...Read more
The immune system developed to tell our own, normal cells (self) from foreign and abnormal cells (non-self). This lets the immune system eliminate viruses, bacteria, fungi and cancer cells from our body without harming normal cells. Sometimes the immune system fails to tell self from non-self and it attacks normal cells, for example in ...Read more
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