Other Rheum Conditions

Understanding Gout

March 7, 2024 ·

Demystifying Gout

Let’s start by understanding what gout really is. Gout is a chronic, inflammatory condition characterized by the deposition of monosodium urate crystals in soft tissues, particularly in and around joints. These crystals trigger intense joint pain, swelling, and redness during flare-ups, making even simple movements agonizing. While gout primarily affects the big toe joint, it can also occur in other joints like the ankles, knees, and fingers, causing significant discomfort and mobility issues.

The Connection Between Gout, Joint Pain, and Inflammation

Gout-related joint pain stems from the inflammatory response triggered by the presence of urate crystals. It is normal for our body to have uric acid, however when our uric acid levels get too high, they form crystals and can accumulate in our joints. They can then kick-start an immune reaction, leading to inflammation and the classic symptoms of gout, such as swelling and redness.

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Heartburn with Autoimmune Conditions

March 4, 2024 ·

Understanding the Link Between Autoimmune Conditions and Heartburn

Today I’m diving into a topic that affects many of us but often goes unnoticed in those with autoimmune conditions: heartburn, or as it’s medically known, Gastroesophageal Reflux Disease (GERD).

We’re reviewing all things GERD and unpacking why it matters, especially for those with autoimmunity. We’ll also offer some practical tips for managing this often-overlooked aspect of our health

What Exactly is Heartburn?

Heartburn occurs when stomach contents flow back up into your esophagus, causing discomfort, burning sensations, and sometimes a sour taste in your mouth. While it may seem like just a normal part of life, it’s more prevalent among those with autoimmune conditions than you might think.

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Discoid Lupus Explained

December 30, 2021 ·

Discoid lupus must be just like “regular” lupus, right? I mean, lupus is lupus, no? You’d think so, but like most things within Rheumatology, it rarely makes that much sense. When one speaks of “lupus” they are usually talking about SLE or Systemic Lupus Erythematosus. SLE is a systemic (affects the entire body), autoimmune condition. Discoid Lupus, or DLE, is a condition solely of the skin. One can certainly have “discoid lesions” when they have SLE and we are always on alert for the development of SLE, but rest assured, they are two different entities.

The name “discoid” stems from the description of the typical rash seen with DLE: a disc shaped, red patch with a scale and with scaring. It is common to worry about “progression to SLE.” Thankfully, development of SLE is the exception, rather than the rule. Although dermatologists are often the main caregivers of DLE, a full evaluation by a rheumatologist can provide insight and peace of mind.

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Know the Prednisone Side Effects

December 23, 2021 ·

Let me be clear – I wouldn’t want to be on prednisone either. In fact, when suffering from a wicked case of vertigo, I fought my doctor buddies who advised I take a Medrol dose pack to ease the symptoms.

“I’m going to gain weight!” “I’m going to have anxiety!”

As a Rheumatologist, I am well-versed in all the possible side effects of prednisone (and similar meds) and feared the worse.

But I also know that there is a time a place for prednisone. Not only was I currently in need of the benefits of prednisone, many of my patients are as well. But there ARE side effects that need to be considered and discussed.

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Mixed Connective Tissue Disease

October 26, 2021 ·

It is rare for someone to get a diagnosis of Mixed Connected Tissue Disorder (MCTD) right away. Most people bounce around from specialist to specialist, collecting diagnoses before they are finally diagnosed with MCTD. This, understandably, leads to confusion and some trust issues. How could it have taken so long to get to a diagnosis? How can you be sure it’s MCTD?

And patients aren’t the only ones confused. Doctors, especially non-rheumatologists, can be confused by MCTD, opting to use the short-hand “lupus.” In many instances, that may be ok, but for the Rheumatologist, and patient, the distinction is important.

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