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Location
Profile	MD, New York City based Lupus Specialist
Website/Blog	www.cerebel.com/lupus
KnowBrainers Blog	michael.belmont's KnowBrainers Blog
Questions Asked	1
Questions Answered	108
Rating	3.8 (on 299 ratings)
Registered on	Tue, 11 Oct 2005
Last Visited	Wed, 09 May 2007
Who Answered
Who Has Been Helped	Anonymous (84) , Askey (2) , madan (1) , kamarudin_mahabut (1) , uptonstarla (1) , jlludington (1) , sutapa_nathdas (1) , tjohnson (1) , ste_mcghee (1) , mkvcincy (1) , AB (1) , blue2044 (1) , jOHNSTON7 (1) , Norm48301 (1) , kiranaroor (1) , sandy_robertson76 (1) , megpie89 (1) , rachel9257@yahoo.com (1) , jsimon (1) , bigman (1) , ann (1) , guswn (1) , wonderful (1) , snigdha (1)
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There are no foods that definitely need to be avoided if you have lupus. The only exception maybe is alfalfa since in rare occasions humans with lupus develop afer ingest... (Not Rated)

You should discuss these issues with your treating rheumatologist and dermtologist and continue the sun avoidance measures you outline. In addition, sometimes indoor fluo... (Not Rated)

Any one can obviously feel poorly with a "cold" which is really a viral infection. Someone with an underlying systemic immune mediated inflammatory diseases suc... (Not Rated)

Shingles or Zoster is the result of the reactivation of the virus that casues chicken pox (Varizella-Zoster, a member of the herpes family of viruses). Patients with lupu... (5 Rating)

Sicca syndrome and Sjogrens Syndrome could be used interchangable although sicca syndrome is a more general term and refers simply to the presence of dry eyes and dry mou... (5 Rating)

There are several different types of vaginitis depending on the infectious agent involved. Examples include yeast or candidal or monilial (all of these are synonyms), bac... (5 Rating)

Active kidney disease in lupus typically is associated with increased urinary protein, often in excess of 1000 mg/day to levels even as high as 5000 or even 10000 mg/day,... (5 Rating)

I am unaware of any relationship between cat ownership or exposure and the development or exacerbation of lupus. Cat litter can be the sourece of toxoplasmosis, a parasit... (5 Rating)

Sjogrens Syndrome is an autoimmune condition that leads to destrution and loss of function of the lacrimal or tear producing glands and salivary glands resulting in dry e... (5 Rating)

Sjogrens Syndrome is an autoimmune condition that leads to destrution and loss of function of the lacrimal or tear producing glands and salivary glands resulting in dry e... (5 Rating)

In addition to antiinflammatory, catabolic corticosteroids medications, suuch as prednisone and methylprednisone (medrol), the familty of medications known as antimalaria... (5 Rating)

70% of all SLE patients are dsDNA positive while 30% of all SLE patents are Sm positive. On the other hand, 90-95% of all patients that have repeatedly definitely positiv... (5 Rating)

No. Lupus consists of three main subsets. One, discoid lupus, which is essentially a condition limited to the skin (admittedly over time some of these patients, maybe 10-... (5 Rating)

The relatiohship between physical and for that matter pyschogical (e.g stress) trauma or environmental factors such as inhaled polutants and lupus has been an area of int... (5 Rating)

SLE is considered the prototypical or classic type of autoimmune immune complex disease. However, strictly speaking it is not a classic primary form of sytemic necrotizin... (5 Rating)

Discoid lupus or DLE is a condition limited to a skin rash, admittedly chronicbut is not associated with systemic features or arthritis. With that said someone could have... (5 Rating)

95-99% of patients with lupus are ANA positive. ANA negative lupus, therefore, rarely occurs but is seen and is most times explained either by another type of autoantibod... (Not Rated)

Misoprostol sold in the US as cytotec or as a component of Arthrotec is a prostaglandin E1 analogue and is intended to protect the stomach from irritatiion by acid. Howev... (Not Rated)

This is an excellent question and the answer varies from patient to patient. SLE disease activity does tend to wax and wane or come and go. Therefore monitoring for disea... (3 Rating)

Patients with lupus are not protected from contracting chicken pox which is a viral infection caused by a Herpes type virus, known as Varicella Zoster. The illness is cha... (Not Rated)

The JCC Maccabi Games� have been offering a life- and personality-shaping experience to Jewish teenagers since 1982. At this Jewish Olympic style event, each athlete has ... (Not Rated)

Lupus is a disease characterized by unpredictable exacebations and remissions which is to say periods of more intense disease activity (flare or exacerbation) and periods... (Not Rated)

Lupus is a disease characterized by unpredictable exacebations and remissions which is to say periods of more intense disease activity (flare or exacerbation) and periods... (Not Rated)

Aggressive forms of lupus nephritis are often treated with oral doses of prednisone and intravenous pulses of cyclophosphamide. Although the majority of patients respond ... (Not Rated)

Most patients with lupus do not have high blood pressure. If hypertension or an elevated blood pressure is identified in a patient with lupus it may be a coincidence and ... (Not Rated)

Patients with lupus are not protected from contracting chicken pox which is a viral infection caused by a Herpes type virus, known as Varicella Zoster. The illness is cha... (Not Rated)

Yes, lupus can cause anemia. The most common cause of anemia is known as the anemia of chronic disease or chronic inflammation.This type istypically mild or moderate at w... (Not Rated)

Mitral valve prolapse is the result of an acquired deterioration of the mitral valve which separates the left atrium from the left ventricle. In its mildest form there ty... (Not Rated)

The illness is named after a physician Sjogren and is named Sjogren's Syndrome. Sjogren's Syndrome or SS is an "autoimmune exocrinopathy" or condition... (Not Rated)

Neonatal lupus occurs in about 1-2% of pregnancies in mother who have measurable anti-Ro antibodies in their blood and can be manifest as transient photosensitive rash, c... (Not Rated)

Cyclophosphamide or cytoxan is a cytotoxic drug or alkylating agents that can be lethal to dividing cells and is used for the treatment of cancer and autoimmune diseases,... (Not Rated)

Serositis refers to inflammation of the lining surfaces of the lung, heart and intestinal tract. Serositis of the lung is also called pleurisy or pleuritis and causes che... (Not Rated)

Hives in lupus can result from mast cell release of histamine or generation of complement degradation products (e.g. C3a), immune complex deposition and neutrophilic vasc... (Not Rated)

Lupus is a chronic condition typically accompanied by periods of disease activity or flare and disease inactivity or remission. Rarely, during periods of disease activity... (Not Rated)

Pleurisy is a condition related to the accumulation of fluid in the tissue lining the lung. Statistically, the most common explanation for the detection of pleur... (Not Rated)

For the most aggressive form of lupus nephritis, WHO Class IV- diffuse proliferative glomerulonephritis even treatment with steroids and cytoxan may prove ineffective. To... (Not Rated)

I do not believe that the prescription medications typically prescribed to treat lupus would result in someone testing positive for canabis (Not Rated)

Kidney biopsy are not associate with seizures. The major risk of the biopsy is bleeding at the biopsy site. On the other hand, lupus patients can develop seizures related... (Not Rated)

About 95-99% of all patients with lupus are ANA positive by ANA-IF and with titers typically greater than 1:160. On the other hand, only 70% of all lupus patients are ant... (Not Rated)

This conditon may be intertrigo or hydridadenitis supportiva and should discussed with a personal physician. One specialist to consider is a dermatologist as well as your... (5 Rating)

This is a bacteria often known by the shortened name of E. coli which resides in almost all normal intestinal tracts of humans and other mammals. Typically in the gut it ... (5 Rating)

Eye involvement is not especially common in SLE, but can occur including epicscleritis, scleritis, and uveitis. The most common manifestation, however, is dry eyes second... (5 Rating)

Yes. Although several medical specialists have expertise in the diagnosis and treatment of osteoporosis, including gynecologists and endocrinologists, and since rheumatol... (5 Rating)

Nystatin mouthwash, a teaspoonful, which is 5 cc, swished and swallowed every 6 hours. (Not Rated)

No. Although there are anecdotes where someone after an accident is diagnosed with lupus or their preexisiting lupus flares, but there is no statistically finding to sugg... (5 Rating)

The etiology or origin of lupus is unknown, but SLE is beleived to be a disorder associated with a genetic predisposition requiring an as yet unidentified environmental t... (Not Rated)

The etiology or origin of lupus is unknown, but SLE is beleived to be a disorder associated with a genetic predisposition requiring an as yet unidentified environmental t... (5 Rating)

lupus is not an infectious, communicable or transmissable disease. One cannot "catch" lupus. It is most likely that lupus occurs because of an inherited or genetic predis... (5 Rating)

Lupus doesn't necessarily "rot" teeth. However, about 25% of lupus patients develop Sjogrens Syndrome which is characterized by autoimmune attack on the tear producing la... (5 Rating)

My point is that once a lupus patient has survived 10 years after diagnoses which occurs in 90% of patients or perhaps 80% if kidney involvement is present then the healt... (5 Rating)

It is difficult to be precise, but you have an approximately 1 in 15 chances of developing lupus or 7% which means an 93% likelihood of never having the disorder. You sho... (5 Rating)

In patients with lupus 95-99% are ANA positive, as an aside so is 5-10% of the entirely healthy and normal human population ANA positive. Persons with lupus also have pos... (5 Rating)

Patients with impaired renal function from any condition are at risk for future loss of kidney function and development of end stage renal disease requiring dialysis or k... (5 Rating)

Kallawalla for Multiple Sclerosis Polypodium Leucotomos Kalawalla, Rapuani (Polypodium Leucotomos) The plant polypodium leucotomos is a fern native to Honduras. Kalawalla... (5 Rating)

80% or so of persons with lupus will experience at least episodes of joint and muscle aches, referred to as arthralgia and myalgia, during the course of their illness. Th... (5 Rating)

Lupus patients who have arthritis and are inactive may develop muscle deconditioning and on occasion frank atrophy or loss of muscle mass. Alernatively, the actual target... (5 Rating)

Hives known medically as urticaria often are idiopathic which means of unkown origin. On the other hand, sometimes they are a manifestation of allergy to food or medicati... (5 Rating)

Arthritis pain relievers also known as nonsteroidal anti-inflammatory medication or NSAIDS, antimalarials such as hydroxychloroquine or plaquneil and chloroquine or arale... (5 Rating)

www.uclasfvp.org/rheum/10 min Rheum talks/Lupus/SLE criteria.ppt You will need power point to view the slide of a lupus patient with the malar or butterfly rash (4 Rating)

Excessive alcohol and especially binge drinking is an unhealthy lifestyte for anyone including persons with lupus. Limited alcohol consumption can be permissable but shou... (5 Rating)

The likelihood that both pairs of a set of identical or monozygotic twins will develop lupus is somewhere between 30 and 50%. (5 Rating)

The dangers of lupus are attributable to either the damage inflicted by the disease which is characterized by unpredictable flares which punctuate periods of disease inac... (5 Rating)

Hives or urticaria are sometimes seen in lupus and can be histamine mediated and therefore responsiveto the class of medications that block histamine, such as zyrtec, all... (5 Rating)

Generally, lupus is considered a chronic autoimmune disease characterized by unpredictable exacerbations and remissions. Effective treatment is intended to produce a remi... (5 Rating)

Both. DNA is a T cell dependent antigen. Anti-dsDNA producing B cells and their more highly autoantibody synthesizing efficient counterparts, plasma cells, are also invol... (5 Rating)

To a degree yes. Although the specific genes have not yet been identified it is very likely that some several genes predispose a person to the disease. With that said, al... (5 Rating)

Ulcerative colitis (UC) is an inflammatory bowel disease (IBD) and although autoimmune phenomenon may be involved is generally unrelated to SLE or lupus. With that said s... (5 Rating)

In the situation described certainly an opinion from at least a second rheumatologist regarded the likelihood of a diagnoses of SLE or Sjogrens would be appropriate. Shou... (5 Rating)

Heat exhaustion results when a persons core body temperature increases and is serious although less so than heat stroke which occurs with even more severe hyperthermia. T... (5 Rating)

If this meant to be Goodpastures Disease this is an illness due to the presence of antibodies to glomerular basement antigen and can produce nephritis or kidney disease w... (5 Rating)

It may be possible to initially test negative for lupus with the screening blood test knwon as ANA and for it to be positive at a late date, but this is unusual in that m... (5 Rating)

An alternative approach would include an antimalarial such as hydroxychloroquine (plaquenil) or chloroquine (aralen) for treatment of SLE and the mucosits as well as the ... (5 Rating)

yes in that a CBC or complete blood cell count may demonstrate low total white blood cell count, low lymphocyte count, anemia with low red blood cell count or low platele... (5 Rating)

Blood test demonsrating prior or past exposure to the herpes type virusmdesignated CMV or cytomegalovirus. If this test is positive then the person typically contracted t... (5 Rating)

No. Although this is a very subjective complaint. Severe anemia may be accompanied by sensation of lackof warmth as well as weakness, lightheadness, dizzziness and can be... (5 Rating)

Most definitely as about 90% of all persons diagnosed with lupus will be alive 10 years after diagnosis. This probability maybe only 80% for those with significant kidney... (5 Rating)

Please check archives as the question was answered on this website in greater detail previously. SLE is chiefly a disease of women of child bearing age. Which is to say w... (5 Rating)

Alopecia areata, alopecia totalis and alopecia universalis are conditions which are autoimmune, but are otherwise limited to loss of small areas of hair on the scalp, all... (5 Rating)

The liver is infrequently affected directly by lupus although on occasion nonspecific liver inflammation appears during lupus flares with mild elevation on blood tests of... (5 Rating)

Ringworm is the lay term for tinea corporis and is caused by yeast or fungal infection of the skin. These lesions can appear somewhat similar to discoid lupus or subacute... (Not Rated)

Pleurisy is a condition related to the accumulation of fluid in the tissue lining the lung.

Statistically, the most common explanation for the detection of pleur... (Not Rated)