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Can Your Medications Cause Lupus?

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Drug-induced lupus, a form of lupus caused by certain medications, and not something you hear much about. It differs from the regular “systemic” lupus in multiple ways, including the expected symptoms, the positive blood tests and the prognosis. 

What is Drug-Induced Lupus?

We’ve all heard of lupus, but did you know there’s a version that can be triggered by medications? It is called drug-induced lupus. Unlike the more familiar systemic lupus erythematosus (SLE), which is a chronic autoimmune disease, drug-induced lupus occurs when your body’s immune system reacts to a specific medication.

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Understanding Lupus Hand Symptoms

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When doctors talk about lupus, the focus often lands on the kidneys. However, there’s one part of the body almost every lupus patient will face issues with: the hands. As a rheumatologist, I can tell you, the hands reveal so much and when you know what to look out for, you can alert your doc and together develop a plan. 

Lupus Arthritis: Joint Pain and Beyond

It might not surprise you to know that joint pain is a part of lupus, as it is with most autoimmune conditions. More than 90% of lupus patients will experience some form of joint pain or arthritis. But when we hear “arthritis,” we tend to think of rheumatoid arthritis (RA), not lupus, and miss the nuances of lupus arthritis.

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Discoid Lupus Explained

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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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Pregnancy & Lupus

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I’ve sat down with hundreds of young women as they find out they have lupus. Once a diagnosis is made, the conversations are largely one-sided. Explaining what lupus is, how we diagnosis it, and what we are going to do about it can take a while. I’ve seen every possible emotion you can think of wash over the faces of women as they absorb this news: relief at an answer, sadness at what it means, anger at why them, and then fear for their future. The fear, for many, circles around concerns over the possibility of a pregnancy with lupus. 

Lupus can affect anyone, but young women are the most commonly affected. Women in their teens, twenties and thirties, or what we call in medicine, the child-bearing years. Discussing issues related to pregnancy is a necessary component to a well-rounded lupus treatment strategy.

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What you need to know about Lupus – Pt 2

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Lupus is not a diagnosis that anyone wants to hear come from their doctor’s mouth. It’s not very well understood by most and although it can be comforting to know the reason for your symptoms, it can be downright terrifying to think about your future. Lupus is a condition of ups and downs, sometimes extreme downs, but it is possible to live a happy, full life while also living with lupus. 

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