Doctor insights on:
Mysterious lupus: It is not known what causes lupus erythematosus. Referring to antiquity, lupus was used to describe several different rashes. It could be autoimmune, where the body attacks itself such as lupus erythematosus or discoid lupus. It could be caused by tuberculosis infection such as lupus vulgaris. It could be related to another inflammatory disease such as sarcoidosis which causes lupus pernio. ...Read more
Skin vs systemic: Lichen plan us is a skin and mucous membrane (mouth) disease. There are several forms of lupus. Some forms affect only the skin and can even look like lichen planus skin changes. The main firm (SLE) is a systemic total body, autoimmune disease not limited to the skin and mouth. Lupus Erythematosis is also associated with lab abnormalities not present in lichen planus ...Read more
It is magic?: 1the use of anti-malarials in autoimmune diseases was accidentally discovered in treating wwii vets for malaria. Those with RA improved. Chloroquine and ho-q were tested in sle, with very positive results. In the early 80's canadian researchers definitively showed fewer sle flares with ho-q. It is considered the rx of first choice for :sle. We now understand more of the mechanisms, but not all. ...Read more
Amphotericin B: Different antifungals are used for different fungal infections. The more potent may cause the worse side-effects. So for antifungals more potent is not necessarily better. Simple antifungals for simple infections, stronger and potentially more dangerous antifungals for life threatening infections. ...Read moreSee 1 more doctor answer
Which disease usually has the best prognosis: 1. SLE, 2. Rheumatoid arthritis, 3. Psoriasis or 4. Psoriatic Arthritis?
Impossible to say: It depends on the severity of each disease. Psoriatic would be considered the most benign. ...Read more
Does infectious disease specialist treat or study systemic scleroderma. Undifferentied diffuse connective tissue disease,raynauds?
No: these are generally dealt with by rheumatologists. Good luck. ...Read more
The Mighty Vitamin D: You may do better in warmer climate closer tot he equator for 2 reasons: more vitamin D and more exercise . Receiving more sunlight would naturally raise your vitamin D levels. Adequate vitamin D is essential for fibromyalgia relief, and is a powerful anti-inflammatory.More exercise, especially light walking or yoga on the beach would add to the benefit of vitamin D. ...Read more
Lupus and scleroderma are connective tissue diseases but eds is also. What exactly is connective tissue disease? Is lichen sclerosis related
What is the difference between psoriatic arthritis and spondyloarthrapathy? I'm hla b-27 positive
Almost the same: Many people with psoriatic arthritiw have back problems similar to classic ankylosing spondylitis. The meds used for these are the same and include sulfasalazine, methotrexate, biologics including humira, remicade, (infliximab) etc. Occasionally the arthritis goes into remission (stops) if the skin is cleared, but this isn't common. Nonsteroids such as indomethecin are quite helpful. ...Read more
Lupus: Lupus comes in 4 major types: systemic, discoid (skin only), neonatal, and drug-induced. Some people who have an abnormality in their immune system and fail to make a body defense protein called complement are also at risk for developing lupus. It has been estimated that 1.5 million people in the US have one of these lupus forms. Women are 2-3 times more likely to develop this disease than men. ...Read moreSee 1 more doctor answer
Sometimes hard: Both have arthritis as part of the disease in RA it is the major feature and most people have nothing else. Lupus, while having arthritis as part of it, often has many other features of other organ systems like the skin kidneys bervous system or blood best way is to see a rheumatologist. ...Read moreSee 1 more doctor answer
Does kid qualify for vaccine exempt with family hist of scleroderma, Raynaud's, psoriasis, scoriatic arthritis, and personal hist of eczema and celiac?
Lichen Sclerosus: Corticosteroid ointments or creams are commonly prescribed for lichen sclerosus. Initially, you'll generally have to use cortisone creams or ointments on the affected skin daily. After several weeks, your doctor will likely recommend that you only use these medications twice a week to prevent a recurrence. Your doctor will monitor you for side effects associated with prolonged use. ...Read moreSee 1 more doctor answer