
Reply: to notdiangosedinny
one of the more important things about this is to identify changes in the nail...
Posted by David Zelman, MD
David Zelman MD
one of the more important things about this is to identify changes in the nail angle at the base and the spongy feel as wellView Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: Dr. Zelman: lupus and allergies?
Good question. There is no association to my knowledge though intuitively one...
Posted by David Zelman, MD
David Zelman MD
Good question. There is no association to my knowledge though intuitively one might expect there to beView Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: what level of lupus do you have?
good assessment Lisa
Posted by David Zelman, MD
David Zelman MD
good assessment LisaView Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: Is it Really Lupus?
You may want another neuro opinion and should likely have an MRI of your brain....
Posted by David Zelman, MD
David Zelman MD
You may want another neuro opinion and should likely have an MRI of your brain. That however is the decision of the physicians who are evaluating you, have taken your history and performed an examination. Lupus can cause a variety of neurologic problems and can at times be diffcult to identify but I assume your rheum is aware of thisView Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: Drug Induced Lupus
thorough discussion at link...
Posted by David Zelman, MD
David Zelman MD
thorough discussion at link belowhttp://www.lupus.org/webmodules/webarticlesnet/templates/new_aboutaffects.aspx?a=377&z=17&page=2View Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: Question for Dr Z
Hard to answer w/o more specifc info on you case. I am guessing you don't actually...
Posted by David Zelman, MD
David Zelman MD
Hard to answer w/o more specifc info on you case. I am guessing you don't actually have ankylosing spondylitis. Your long term outlook for sle and vasculitis would depend specifically on the organs involved. Treatment is available but lupus is treated not cured. FM will not affect your life expectancyView Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: lupus of the scalp
It is not 2 types of lupus. Lupus can be confined to the skin or it can be...
Posted by David Zelman, MD
David Zelman MD
It is not 2 types of lupus. Lupus can be confined to the skin or it can be systemic ( SLE) with involvement of multiple organs beside the skin ( kidneys, lungs , blood , nervous system). The ANA test can be positive in either but generally needed if SLE is to be diagnosed. The skin form is mainly diagnosed on biopsy and appearance and the ANA would clinch the diagnosis. Hydroxychloroquine isoften used to treat the skin diseaseView Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: Benlysta
frankly I was not that impressed with the results of the trials that led to...
Posted by David Zelman, MD
David Zelman MD
frankly I was not that impressed with the results of the trials that led to approval, during which patients continued "standard"treatment and this was added on. At that price I won't be using it much . I will wait until there is some use of the drug and some "buzz" created by practitioners in the real world . In other words I will not be an early adopterView Thread
Posted byDavid Zelman, MD
David Zelman MD
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Reply: ? for Dr Z, but others welcome to!
unable to answer your question with the info given dz
Posted by David Zelman, MD
David Zelman MD
unable to answer your question with the info given
dzView Thread
Posted byDavid Zelman, MD
dzView Thread
David Zelman MD
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Reply: Question for Dr Z
See this previous post on the subject A common thread to several recent posts...
Posted by David Zelman, MD
David Zelman MD
See this previous post on the subject A common thread to several recent posts concerns this question. Some symptoms such as joint or muscle pain as well as some mental symptoms and headaches are common to both and the conditions can coexist in the same patient. It is important, though not always easy to distinguish which is more active. The treatment in each circumstance is different, with lupus rx often using varying degrees of immune supression and fibromyalgia often with antidepressant medication ( or other medications sometimes hepful for chronic pain).
For example, treating FM symptoms as active lupus may lead to a see-saw ride of steroid escalation with side effects being the main end result. On the flip side, FM patients may not always have their symptoms given full consideration or may be incompletely resolved with most medications. If SLE is active it needs to be treated as such. I will guess that this question is one that your treating physicians struggle with all the time.
In many of the posts it appears that FM may be the predominant source of symptoms but, as always, it is best be determined by your treating MD who knows you, can examine you and check approriate testing.
David Zelman, MDView Thread
Posted byDavid Zelman, MD
For example, treating FM symptoms as active lupus may lead to a see-saw ride of steroid escalation with side effects being the main end result. On the flip side, FM patients may not always have their symptoms given full consideration or may be incompletely resolved with most medications. If SLE is active it needs to be treated as such. I will guess that this question is one that your treating physicians struggle with all the time.
In many of the posts it appears that FM may be the predominant source of symptoms but, as always, it is best be determined by your treating MD who knows you, can examine you and check approriate testing.
David Zelman, MDView Thread
David Zelman MD
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