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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Lupus Be Treated?

My neurosurgeons, and I (more so) feel like my body is rejecting the metals used in my 3 backs surgeries. Causing Loosening , Failure to fuse, broken hardware, break out at site and not incision. The list goes on. I m 40, have SLE Lupus and numerous autoimmune & Connective Tissue Diseases. What is you view on getting the melisa.org metal allergy test. Looking at possibly another in a few months. I have no money to pay, except my life and others. To Find a Cure, Lupus.
posted on Thu, 30 Mar 2017
Twitter Thu, 2 Aug 2018 Answered on
Twitter Fri, 3 Aug 2018 Last reviewed on
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  Anonymous's Response
's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Lupus is an autoimmune disease. In this disease, the body’s immune system, mistakenly attacks healthy tissue. It can affect the skin, joints, kidneys, brain and other organs. Based on the clinical features and the laboratory findings, we choose the right therapy. In practise, we use SLEDAI (Systemic Lupus Erythematosis Disease Activity Index), to make a right evaluation of the disease activity. There are a lot of Disease Modyfing Anti Rheumatologic Drugs which can be helpful for this condition, even in Autoimmune Connective Tissue Diseases, for example Plaquenil (Hydroxychloroquine), once or twice per day, a tablet of Colchicine (as antifibrotic, anti inflammatory agent), and other agents like Methotrexate if you have also articular manifestations. If you have SLE with kidney affected we prefer Mycophenolate Mofetil 2 tb in the morning and 2 in the evening. You have to explain better your symptoms for choosing the right medication.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ilektra Xhafa (Kacareli)
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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How Can Lupus Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Lupus is an autoimmune disease. In this disease, the body’s immune system, mistakenly attacks healthy tissue. It can affect the skin, joints, kidneys, brain and other organs. Based on the clinical features and the laboratory findings, we choose the right therapy. In practise, we use SLEDAI (Systemic Lupus Erythematosis Disease Activity Index), to make a right evaluation of the disease activity. There are a lot of Disease Modyfing Anti Rheumatologic Drugs which can be helpful for this condition, even in Autoimmune Connective Tissue Diseases, for example Plaquenil (Hydroxychloroquine), once or twice per day, a tablet of Colchicine (as antifibrotic, anti inflammatory agent), and other agents like Methotrexate if you have also articular manifestations. If you have SLE with kidney affected we prefer Mycophenolate Mofetil 2 tb in the morning and 2 in the evening. You have to explain better your symptoms for choosing the right medication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilektra Xhafa (Kacareli)