Understanding Lupus: Diagnosis and Treatment Insights for Skin Symptoms
Systemic lupus erythematosus (SLE) Hello, doctor. I have had a 1.5 cm red rash on my face for nearly three years. I have visited multiple dermatology clinics, and they all diagnosed it as eczema. The ointments prescribed did not make it disappear, but it is neither painful nor it...
Dr. Li Yufen Reply:
Hello: For a detailed introduction to systemic lupus erythematosus, you can refer to the educational article from Chi Mei Medical Center at https://www.chimei.org.tw/main/cmh_department/59012/info/7390/A7390105.html. If you have any doubts regarding the diagnosis, it is recommend...[Read More] Understanding Lupus: Diagnosis and Treatment Insights for Skin Symptoms
Could Lupus Be Misdiagnosed in Patients with Syphilis Symptoms?
Is there a misdiagnosis of lupus erythematosus? Recently, I went to the hospital for urine and blood tests. The doctor indicated that the urine protein levels were elevated. After the first blood test, the doctor suspected systemic lupus erythematosus (SLE) and recommended furthe...
Dr. Li Yufen Reply:
Hello: Please refer to the current guidelines for the diagnosis and treatment of systemic lupus erythematosus at http://www.tsim.org.tw/article/A91/%E5%B8%B8%E8%A6%8B_12.pdf. If there are any doubts regarding the diagnosis of lupus erythematosus, it is recommended to seek a secon...[Read More] Could Lupus Be Misdiagnosed in Patients with Syphilis Symptoms?
Could I Be Developing Lupus? Understanding Symptoms and Concerns
Is it possible to develop lupus erythematosus? Hello doctor, I started having a cold last week and my immune system has been quite weak since then. I noticed small red spots on my body, smaller than a mung bean, which feel slightly raised and are not disc-shaped. There are two on...
Dr. Li Yufen Reply:
Hello: The clinical manifestations of systemic lupus erythematosus (SLE) can vary widely. For a detailed introduction, you can refer to the article on Care Online at https://www.careonline.com.tw/2017/09/SLE.html?m=1. If symptoms do not improve and instead worsen, it is advisable...[Read More] Could I Be Developing Lupus? Understanding Symptoms and Concerns
Understanding Positive ANA and Its Implications for Lupus Diagnosis
Systemic lupus erythematosus (SLE) Hello doctor! I tested positive for ANA and ENA, but my DRVVT results were normal. Does this mean I am definitively diagnosed with lupus erythematosus, or is it still possible for me to develop this disease in the future? Thank you.
Dr. Li Yufen Reply:
Hello: For information on systemic lupus erythematosus, you can refer to the article from Chi Mei Medical Center at http://www.chimei.org.tw/main/cmh_department/59012/info/7390/A7390105.html. To diagnose systemic lupus erythematosus, it is generally recommended to meet four out o...[Read More] Understanding Positive ANA and Its Implications for Lupus Diagnosis
Understanding Mosquito Bites and Lupus: Redness and Swelling Explained
Systemic lupus erythematosus mosquito bites Hello, doctor. I have been diagnosed with systemic lupus erythematosus (SLE) and have been undergoing treatment for about 4-5 years, with regular follow-ups. I would like to ask whether lupus patients generally experience more severe an...
Dr. Li Yufen Reply:
Hello: It is recommended that you keep a brief record of this situation and discuss it with your attending physician during your follow-up visit. Additionally, review the blood test results and medication status. Thank you![Read More] Understanding Mosquito Bites and Lupus: Redness and Swelling Explained
Understanding ANA Index: Is Your Skin Condition Linked to Lupus?
ANA index Hello doctor, I have been living in Australia for a long time, and my face has always been red (it can improve but never completely returns to normal). Sometimes it itches and has small bumps, especially during seasonal changes and before my menstrual period. My chin, n...
Dr. Wu Yuxin Reply:
You should consult your attending physician about this issue, as they are the most familiar with your condition.[Read More] Understanding ANA Index: Is Your Skin Condition Linked to Lupus?
Does Menstrual Cycle Affect SLE Test Results? Should You Retest?
Systemic lupus erythematosus (SLE) Hello, will urine and blood tests conducted 1-2 days before menstruation affect the results for SLE (Systemic Lupus Erythematosus)? After the urine test (in the morning), I noticed some blood streaks when wiping in the afternoon, but there was n...
Dr. Wu Yuxin Reply:
I'm sorry, but I can only provide responses in English as per your previous request. Please provide the content you would like translated.[Read More] Does Menstrual Cycle Affect SLE Test Results? Should You Retest?
Understanding Purpura: Causes, Symptoms, and Treatment Options
What is purpura? What is purpura? Purpura refers to the bleeding symptoms in the skin or mucous membranes caused by the leakage of red blood cells from microvessels. The purpura can be very small, resembling pinpoint spots known as petechiae, or larger areas referred to as ecchym...
Dr. Wu Yuxin Reply:
Your explanation has been very detailed, and I don't think I need to add anything further.[Read More] Understanding Purpura: Causes, Symptoms, and Treatment Options
Can SLE Patients Safely Undergo Laser Treatments for Skin Issues?
Can patients with SLE undergo laser spot removal? Hello, doctor! I am a patient with over twenty years of history of Systemic Lupus Erythematosus (SLE), and my condition is currently stable. Recently, I received hyaluronic acid injections to fill in my tear troughs. Will this hav...
Dr. Yang Zhiya Reply:
Hello, if there are erythema on the face or if there are wounds that are difficult to heal due to long-term medication, laser treatment is generally not recommended. If the skin condition is stable, it is important to have thorough communication with the physician before undergoi...[Read More] Can SLE Patients Safely Undergo Laser Treatments for Skin Issues?
Understanding Severe Hair Loss: Causes and Blood Test Insights
Severe hair loss Severe hair loss while washing hair, with several strands falling out with a single pull, raises concerns. Regarding blood tests for hair loss, which conditions should be evaluated? Could you please explain the potential causes that can be tested? Thank you.
Dr. Huang Ruiyun Reply:
Hello: Blood tests can screen for thyroid function, systemic lupus erythematosus, syphilis, and iron deficiency anemia. However, conditions like male pattern baldness and alopecia areata are diagnosed based on clinical symptoms rather than blood tests. Stress-induced telogen effl...[Read More] Understanding Severe Hair Loss: Causes and Blood Test Insights
Understanding Lupus: Risks, Testing, and Long-Term Outlook
Systemic lupus erythematosus (SLE) Hello, doctor: My sister was recently diagnosed with lupus erythematosus. Am I at risk of developing it too? If I go to the hospital for a blood test and the results are negative, does that mean I won't develop it in the future? I'm re...
Dr. Huang Ruiyun Reply:
Hello: I understand that you are very anxious, but I must honestly say that your anxiety is quite unfounded. Although systemic lupus erythematosus is related to genetics, it does not necessarily mean that it will develop. Among all patients with systemic lupus erythematosus, only...[Read More] Understanding Lupus: Risks, Testing, and Long-Term Outlook
Managing Lupus: Integrative Approaches and Lifestyle Tips for Recovery
Systemic lupus erythematosus (SLE) Hello Dr. Huang, thank you for your previous response. The biopsy results indicate Lupus. The diagnosis from the ENT specialist is "Relapsing Polychondritis." However, in "The Lupus Book" by Daniel J. Wallace, M.D., it is men...
Dr. Huang Ruiyun Reply:
Hello: Lupus erythematosus (LE) does not necessarily equate to systemic lupus erythematosus (SLE). A patient with LE must meet certain criteria to be diagnosed with SLE. Whether you are an SLE patient should be determined by your clinician based on your overall condition. Relapsi...[Read More] Managing Lupus: Integrative Approaches and Lifestyle Tips for Recovery
Understanding Vasculitis: Treatment Options and Prognosis
Please ask your questions related to vasculitis? Hello, could you please tell me about the current treatment methods for vasculitis? Is there a possibility of cure or symptom relief? If symptoms improve, can medications be stopped or dosages reduced? Additionally, is there a poss...
Dr. Zhang Zhibo Reply:
Dear Liu: Vasculitis is a disease characterized by inflammatory responses and necrosis affecting blood vessels, which can involve one or multiple organs and vessels. Symptoms may include unexplained fever, weight loss, and persistent loss of appetite, which are nonspecific compla...[Read More] Understanding Vasculitis: Treatment Options and Prognosis
Managing SLE-Related Kidney Inflammation: Exercise and Dietary Tips
Type III and Type V lupus nephritis caused by systemic lupus erythematosus (SLE)? I have had atopic dermatitis since childhood, and at the age of 22, I developed systemic lupus erythematosus (SLE). Recently, I was hospitalized due to high levels of protein in my urine and underwe...
Dr. Jiang Yujiao Reply:
Hello: In response to your question. I apologize! How long should one rest after a kidney biopsy? Is it okay to exercise? You can consult the nephrologist who performed the biopsy. From my understanding, after the biopsy, you need to rest for a few hours before resuming normal ac...[Read More] Managing SLE-Related Kidney Inflammation: Exercise and Dietary Tips
Understanding Lupus Erythematosus: Symptoms, Causes, and Treatment
Systemic lupus erythematosus (SLE) What is lupus erythematosus? Thank you.
Dr. Zheng Lizhen Reply:
Hello: Systemic lupus erythematosus (SLE) is an autoimmune disease that predominantly affects women. Symptoms of SLE include a butterfly rash, discoid lesions, photosensitivity, photophobia, and joint pain, among others. However, symptoms alone are not sufficient for a diagnosis ...[Read More] Understanding Lupus Erythematosus: Symptoms, Causes, and Treatment
Managing Asymptomatic Lupus: Prevention Tips and Skin Care Guide
If blood tests indicate the presence of lupus erythematosus but there are no noticeable symptoms, what preventive measures should be taken? Hello Doctor: I previously visited the immunology and rheumatology department for blood tests due to seborrheic dermatitis. The results reve...
Dr. Jiang Yujiao Reply:
Hello: A positive result for Anti-dsDNA, defined as greater than 30 in our hospital, is considered significant. However, the American College of Rheumatology has established that at least four out of eleven criteria must be met for a diagnosis of systemic lupus erythematosus (SLE...[Read More] Managing Asymptomatic Lupus: Prevention Tips and Skin Care Guide
Understanding Lupus: What to Do If a Friend is Diagnosed Early
Systemic lupus erythematosus (SLE) I have a question... My friend said they have early-stage lupus erythematosus... I'm really scared. What should I do? Is it serious?
Dr. Huang Ruiyun Reply:
Systemic lupus erythematosus is an autoimmune disease and is not contagious. Patients require long-term follow-up in the rheumatology or dermatology departments, which are part of internal medicine, depending on the severity of their condition to determine the appropriate treatme...[Read More] Understanding Lupus: What to Do If a Friend is Diagnosed Early
Understanding Facial Redness: Insights on Skin Sensitivity and SLE Testing
I would like to inquire about the issue of facial redness..? Hello, Doctor. I would like to ask you about the issue of facial redness. I have been experiencing facial redness since middle school and have not paid much attention to it, as I have also been troubled by acne and blac...
Dr. Huang Ruiyun Reply:
ANA 1:40 is considered normal, and there is currently no need to consider SLE (Systemic Lupus Erythematosus). The facial redness issue is most commonly associated with rosacea; however, online assessments should not be made. If it is very bothersome, it is advisable to return to ...[Read More] Understanding Facial Redness: Insights on Skin Sensitivity and SLE Testing
Can SLE Patients Safely Undergo Laser or IPL Treatments?
Can patients with SLE undergo laser spot removal or intense pulsed light treatments? Hello, doctor! I would like to ask if patients with SLE (Systemic Lupus Erythematosus) can undergo laser spot removal or intense pulsed light therapy. Will it have any impact on their condition? ...
Dr. Zheng Lizhen Reply:
Hello: Patients with SLE are photosensitive, and laser spot removal or intense pulsed light treatments are not recommended. Sincerely, Dr. Cheng Li-Chen, Dermatology.[Read More] Can SLE Patients Safely Undergo Laser or IPL Treatments?
Understanding Sporanox for Nail Fungus: Coverage and Costs Explained
Medications for nail fungus (onychomycosis)? Is Sporanox covered by health insurance for treating onychomycosis? I previously visited a dermatology clinic, and the doctor mentioned that each pill costs fifty NT dollars, so the entire treatment would be nearly two thousand NT doll...
Dr. Hong Zhengsheng Reply:
Hello Arthur: The National Health Insurance Administration has strict regulations regarding medications for onychomycosis (fungal nail infection), and reimbursement will only be approved if the criteria are met. I recommend that you consult with a dermatologist at the municipal h...[Read More] Understanding Sporanox for Nail Fungus: Coverage and Costs Explained