Doctor insights on:
Treatments For Cold Agglutinin Disease
HIV 1&2 antibody production can get delayed by factors like immunity, medications, other diseases, treatments etc..Same is applicable to P24 antigens?
Conclusive at 4 wk: Your opening statement is mistaken: HIV antibody development is NOT delayed by any known immune problems, medications, etc. The antibody-only HIV tests always are conclusive by 6-8 weeks after exposure. If somehow antibody were delayed, p24 antigen would appear sooner, not later. The Ag-Ab (4th generation) HIV tests therefore are ALWAYS 100% conclusive any time 4 weeks or more after catching HIV. ...Read more
What r the symptoms, tests, & treatments for autoimmune urticaria? Is it different from chronic urticaria?
Not necessarily: Chronic urticaria ilasts longer than 6 weeks, and most of those are of unknown cause, chronic idiopathic urticaria (ciu). Part of ciu is due to autoimmunity. However, the tests for autoimmune urticaria may not be sspecific. Autoimmune urticaria may not respond to antihistamines alone. Such patients may require leukotriene antagonists, prednisone, dapsone, Cyclosporine and even ivig. ...Read moreSee 1 more doctor answer
Good medication: Recognizing that the disease is due to spasm of the muscle layer lining the arteries in response to temperature extremes, then using medications that reduce the spasm and promote dilatation would be most beneficial. There are excellent studies using a medication called Pletal (cilostazol) while i agree that there are systemic effects potentially, the benefits of this outweigh the risks. ...Read moreSee 1 more doctor answer
Several: Once a doctor has decided that someone does need treatment for their chronic hepatitis b infection (not everyone needs treatment immediately), they may recommend drugs that block viral replication, like tenofovir or entecavir. Less commonly, they might recommend an immune drug called interferon alfa that helps the body fight the hepatitis b. It is important to be monitored regularly. ...Read more
What is the prognosis for someone whose cold agglutin disease is suspected to have been caused by a virus, with negative for lymphoma bone marrow test?
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
See below: Cold sores are caused by herpes simplex viruses. They are usually recurrent not chronic. Recurrent cold sores can be prevented by long term antiviral therapy with valtrex, (valacyclovir) Famvir etc. These meds can be prescribed by your family physician or internist. ...Read moreSee 1 more doctor answer
Can epstein-barr virus (ebv) turn into a deadly disease, and what are the symptoms, treatments, and causes?
It can rarely.: Almost everyone gets infected with ebv and almost everyone recovers. During acute infection, complications include low platelets, potential airway obstruction and spontaneous or trauma-related ruptured spleen. The virus stays dormant after one recovers and can be associated with lymphomas in very immunosuppressed hosts. ...Read more
Can hypothalamus damage/autoimmunity cause: cold/heat intolerance, no fever response, and dysesthesias? How would you test for damage/antibodies?
Need specific test: You need to be testing for graves disease - there is no shotgun test for all autoimmune disorders. ...Read more
Inflammatory arthritis dx. Recent lethargy and cold intolerance. TSH and T4 normal but thyroid antibodies positive. Treatment for thyroid needed?
Endocrinology input: as this is a relative issue, depends on the levels and types of antibodies present, needs an expert in thyroid disorders to give you a definitive answer and a follow up plan, you can try first an Endocrinologist on HealthTap, good luck ...Read more
Are there any "at home" treatments or recommendations for addison's and graves disease? I also have other auto immune disorders.
Stay healthy: These are two serious endocrine diseases that need full dose conventional treatment as your backbone regimen. The addison can be controlled and its treatment sometimes help other autoimmune conditions as well. The graves can be cured. Please see your doctor to have regular checkup. Good luck. ...Read moreSee 1 more doctor answer
Stop inflammation: Kawasaki's disease is treated with high doses of Aspirin (salicylic acid) to reduce inflammation and to mildly thin the blood to prevent blood clot formation. Also used in treatment is gamma globulin administered through the vein (intravenous immunoglobulin or ivig), together with fluids. ...Read more
No: Lyme is a disease that is spread by the bites of tics to humans. The only way to prevent lyme disease is to use proper insect repellant ( with deet ) to avoid getting bitten by the tics. If you are in wooded areas or areas where lyme is prevalent, make sure when you get home you check yourself and all others in your family for tics embedded in your skin. Remove them as soon as possible. ...Read moreSee 1 more doctor answer
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