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General Rheumatology

Understanding the Lupus and MCTD Connection

May 26, 2025 ·

Learn the key differences between lupus and MCTD, from Raynaud’s phenomenon to the RNP antibody, and why the distinction matters.

When you’re living with lupus, it can feel like every symptom and test is part of the same story. But what happens when new clues emerge, pointing toward a different diagnosis like Mixed Connective Tissue Disorder (MCTD)? Let’s break down the differences, key markers, and why it all matters for your care.

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Spotting RA in Your Hands

April 14, 2025 ·

hand osteoarthritis is very different than rheumatoid arthritis

Hand pain can be frustrating and confusing, especially when it starts to interfere with daily life. You may wonder: is it just part of getting older, or could it be something more serious like rheumatoid arthritis (RA)? While osteoarthritis (OA) and RA can both affect your hands, they’re very different conditions with different treatments. Let’s dive into the key signs that can help you understand what’s causing your hand pain.

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Can you have ANA negative lupus?

March 10, 2025 ·

if your ANA is negative, it can difficult to know if you have systemic lupus erythematosus (SLE)

Getting an autoimmune diagnosis like lupus is a life-changing event. But what we don’t talk about enough is how life-changing the journey to that diagnosis can be. For many, it’s a rollercoaster of confusing symptoms, endless doctor visits, and—often—conflicting test results. One of the most common points of confusion? The ANA test, its results, and what they actually mean when you’re trying to figure out if you have lupus.

Let’s dive into the complexities of the ANA test, what it means for lupus, and why focusing on your symptoms might be the key to getting the answers you need.

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Exercise for Fibromyalgia: How to Start

March 3, 2025 ·

Exercising with fibromyalgia can help with body pain.

Living with fibromyalgia can feel like your body has turned against you. Pain, fatigue, and unpredictability can make even the idea of exercise overwhelming. If this sounds familiar, you’re not alone. Many of my patients with fibromyalgia feel the same way, especially if they’re worried about triggering a flare or feel like they’ve lost the ability to move the way they used to.

But here’s the truth: exercise is not just helpful—it’s essential for managing fibromyalgia. Let’s break down why movement matters, how it can actually help your symptoms, and, most importantly, how to get started in a way that feels doable.

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What to consider when facing a biologic

February 24, 2025 ·

Starting a biologic for rheumatoid arthritis is a big step

Talking about changes to our autoimmune treatment can be overwhelming—especially if the conversation turns to biologics. Many people managing rheumatoid arthritis (RA) or other autoimmune diseases find themselves in a rheumatologist’s office, hearing that a biologic might be the next best step. So, what exactly are biologics, and how can you make the best decision for yourself? Let’s dive into the basics and explore some key questions to ask so you can feel more comfortable with whatever path you choose.

What Are Biologics?

Biologics are a class of medications that have brought a whole new level of specificity to autoimmune treatment. Unlike traditional drugs, biologics are made from living organisms—proteins, antibodies, or cells—which scientists isolate and modify to target specific aspects of the immune system. For people with autoimmune diseases, these medications can help reduce inflammation and limit the immune system’s overactivity that causes joint damage.

[Read more…] about What to consider when facing a biologic
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