Doctor insights on:
What Is The Drug Of Choice For Discoid Lupus
Not Fair: Every person is a different element that we have to figure out what works best for your body. You might have to try a few different medications before you find which works best for you! don't give up after just one med doesn't work. What works for one patient might not for another with the same condition. It's what makes us unique and what makes being a doctor so confusing. ...Read more
Discoid lupus (think singer seal) is seen by itself or with systemic lupus erythematosus (sle). Abut 25% of sle pts have discoid symptoms. If discoid lupus is by itself, 5-10% of them will go on to have sle, but the disease is relatively mild. Discoid lesions are areas of inflammation that go through the dermal layer of skin, causing scarring (like stretch marks). ...Read more
Less sun, some Rx: Sun protection, topical steroids, avoidance of any drug which may have provoked the dle. 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
Tinea Versicolor: Tinea versicolor is quite common particularly in the teens that i see. It is very difficult to treat but selenium sulfide (selsun) can help. Apply to affected areas and allow to dry on skin leave on for 30-60 minutes and wash off. Repeat daily up to 14 days. Other antifungal creams may be used for small areas. ...Read moreSee 1 more doctor answer
What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?
Oral agents best: Lichenoid lupus refers to a specific type if rash sometimes photosensitive, which is oftern red and raised. It occurs between the dermis and epidermis under the microscope. Discoid may also start as a red area but will cause atrophy and scarring. The best treatment is usually the oral agent plaquenil (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more
Whatever works: Several medications have been successful in treating absence seizures. In children this may be ethosuximide, valproate, lamictal, etc. In adults with focal abnormalities this may include trileptal, vimpat, (lacosamide) zonegran, etc. A quality eeg is necessary, and a good neurological evaluation is necessary. ...Read more
Excellent drug: Plaquenil (hydroxychloroquine) is extremely important in controlling the common symptoms of lupus but also helps to reduce the risk of more serious complications occurring in the future. Most rheumatologists consider Plaquenil (hydroxychloroquine) to be an essential therapy for lupus even if other meds become necessary. ...Read moreSee 1 more doctor answer
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
Several!: If you have active lupus, your body is "catabolic, " or in a breadown mode. Your hair will not grow normally and sometimes will be shed. However, treatments for sle, such as Prednisone potentiates hair loss, and this is true for methotrexate, azothioprine, cyclophosphamide, etc. Take 5000mcg of biotin, and 2mg of folic acid. But there may be no "good" solution. ...Read more
Depends: Depends on what the anticipated cause of the pid is and on how sick you are. Pid by definition is infection of the upper genital tract structions in women (uterus, ovaries, fallopian tubes and may involve neighboring pelvic organs). See dr. Christiaan maurer's response for the specific antibiotic recommendations. ...Read moreSee 3 more doctor answers
What's the importance of prednisolone in treatment of rheumatoid arthritis.how and for how long it should be used?
Gold standarf: steroid used to be the gold standard for the treatment of rheumatoid arthritis and still the last line before they start with immune therapy same time taking steroid for a long period of time can have a lot of side effect so they use a balance between the benefit you hope to get Vs the potential side effect that you might be facing and this decision is individualize by the physician see your doc ...Read moreSee 2 more doctor answers
Chikungunya: treatment is largely symptomatic in nature. There is no vaccine to prevent it & no specific treatment for it. Rest, hydration and Non-steroidal anti-inflammatory medications are recommended. Skin discoloration may occur which can be treated w topical corticosteroids (use sunscreen). For itching (urticaria) an antihistamine may help. Topical antibiotics may be used on ulcers. Oral corticosteroids ...Read moreSee 1 more doctor answer
It depends: All acne is chronic. You describe scarring. The burning question right now is whether you can be managed on topical benzoyl peroxide plus perhaps a systemic antibiotic, or whether you are a candidate for isotretinoin. If you are offered the latter, and you're brave, go for it. Most people who tough it out with this rough medication are very glad. ...Read more
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