Doctor insights on:
Treatment For Lupus Panniculitis
I have discoid lupus & panniculitis. May I know what explains my constantly elevated igg level (~2000)? I also have lymphopenia due to steroid intake.
Just a bit high: That's not surprising in systemic autoimmune disease where there's often a polyclonal gammopathy. We don't usually treat discoid lupus with systemic glucocorticoids, and I'm wondering what the panniculitis is really about (Weber-Christian?). You may have some alternative to long-term steroids, which are brutal. Perhaps you can get a second opinion / clarification. ...Read more
Would lupus panniculitis on my thigh and shin cause my groin lymph nodes to swell? (Not big but small almond size swelling). History of discoid lupus
Why don't men want to go to doctors? My husband has discoid lupus, and I feel I have to drag him in to be seen. What will happen to him without treatment?
Probably yes: There is no reason why Lisinopril cannot be used to treat high blood pressure in patients diagnosed with lupus nephritis. In fact, it may be the drug of choice in lupus patients who are also spilling protein in their urine. It may be need to be used with some caution in those patients with more advanced cases of lupus-related kidney disease as it may contribute to high levels of potassium. ...Read more
S L E : Systemic lupus erythematosus is an auto immune disease, that can affect skin, joints, kodneys, brain, and other organs.Auto immune means bodys immune system mistakenly attacks healthy tissues it is treated with steroids and non steroidal anti inflammatory meds, avoid sun and wear protective clothing. Cytotoxic drugs if you do not respond to cortico steroids cytotoxics have side effects need to be monit. ...Read moreSee 1 more doctor answer
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
Not usually: It will most often resolve on its own. ...Read more
Autoantibodies: Lupus nephritis is produced when autoantibodies cause inflammation of the kidney glomeruli and tubules. It is one of the organs affected by lupus Often a biopsy needed to determine severity and prognosis-class I,II,III, IV, V, and VI, with six being the most severe. Treatment includes corticosteroid, azothioprin, cyclophosamide, mycophenelate mofetil,cyclosporin. dialysis. Remission can occur. ...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
Please be specific: Which part of the body is swelling? Your legs? Your joints? The treatment will depend on location and cause of it. ...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
- Drug drug-induced lupus