Understanding RA Symptoms: Are They Related to Vasculitis?
Vasculitis? Rheumatoid Arthritis (RA)? Hello, doctor. I have been diagnosed with rheumatoid arthritis (RA) at a medical center due to polyarticular pain and a strongly positive anti-CCP test. I have been on medication for quite some time. Recently, I have been experiencing recurr...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Based on the symptoms you described, vasculitis is a possibility, and rheumatoid arthritis (RA) can also lead to vasculitis. However, vasculitis associated with RA typically occurs when medication control is inadequate or treatment is irregular....[Read More] Understanding RA Symptoms: Are They Related to Vasculitis?
Understanding the Differences in Treatment for RA, Osteoarthritis, and SLE
Treatment of Rheumatoid Arthritis and Osteoarthritis Hello, Doctor. I have been diagnosed and treated for rheumatoid arthritis (RA) and asthma for over six months now, but my joint pain still fluctuates. My systemic lupus erythematosus (SLE) is still being monitored. Since I am n...
Dr. Gao Jiankai Reply:
Hello, Xiaomi. Thank you for your question. First, it would be helpful to organize your concerns into a list, as this will make your outpatient visit more efficient and reduce your anxiety. The treatments for rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and oste...[Read More] Understanding the Differences in Treatment for RA, Osteoarthritis, and SLE
Understanding ANA and SLE: Do You Need a Positive ANA for Diagnosis?
ANA (Antinuclear Antibody) and SLE (Systemic Lup Hello, Director Gao. I went to see a specialist in immunology due to joint pain and a rash on my cheeks. After reviewing the overall examination results and clinical symptoms, I found that I meet five of the criteria for SLE diagno...
Dr. Gao Jiankai Reply:
Hello, ANA is just one of the diagnostic criteria for Systemic Lupus Erythematosus (SLE). To meet the diagnostic criteria, a patient only needs to satisfy four of the criteria, and it is not necessary to include ANA. Therefore, ANA is not a mandatory requirement. However, the lik...[Read More] Understanding ANA and SLE: Do You Need a Positive ANA for Diagnosis?
Understanding Overlap Syndrome and Exogenous Asthma in Clinical Practice
Regarding overlap syndrome and exogenous asthma? Hello, Doctor Gao. I have been experiencing joint pain and low white blood cell counts for a long time. However, since these symptoms fluctuate between severe and mild, and I usually feel better after taking painkillers and resting...
Dr. Gao Jiankai Reply:
Hello, in clinical practice, it is quite rare for patients to meet the diagnostic criteria for both rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), especially since the pathogenic mechanisms of RA and SLE differ significantly. Therefore, co-occurrence of these t...[Read More] Understanding Overlap Syndrome and Exogenous Asthma in Clinical Practice
Does Rheumatoid Arthritis and Lupus Worsen Over Time?
Is the condition worsening or stable? Does rheumatoid arthritis and systemic lupus erythematosus affect the central nervous system (brain), and do the clinical manifestations worsen over time? Does the condition deteriorate or remain stable as time progresses? Thank you, doctor.
Dr. Gao Jiankai Reply:
Hello, the central nervous system lesions associated with lupus erythematosus are quite complex, and the symptoms can be varied and unusual, making it difficult to determine the prognosis in a few words; a thorough examination of the manifestations is necessary for a definitive d...[Read More] Does Rheumatoid Arthritis and Lupus Worsen Over Time?
Stem Cell Therapy for Lupus: Current Insights and Treatment Options in Taiwan
Stem cell therapy for systemic lupus erythematosus? Hello, Doctor. I would like to inquire about stem cell therapy for systemic lupus erythematosus (SLE). I have recently come across articles online regarding this treatment. Could you please inform me if stem cell therapy is curr...
Dr. Zeng Guosen Reply:
Dear online friend, Stem cell therapy is currently a new research direction for the treatment of systemic lupus erythematosus. There are not many comprehensive research results reported in Taiwan at this time. Personally, I have only attended lectures and reviewed some literatu...[Read More] Stem Cell Therapy for Lupus: Current Insights and Treatment Options in Taiwan
Can SLE Patients Safely Sunbathe for Vitamin D?
Can people with SLE really not be exposed to sunlight? Hello Doctor, I am an SLE patient. About three years ago, I was diagnosed with RA because I did not meet four criteria. Later, I experienced abdominal pain and vomiting after eating, which led to suspicion of small intestine ...
Dr. Gao Jiankai Reply:
Hello, Xin-Yi. Thank you for your inquiry! Patients with systemic lupus erythematosus (SLE) have a 60-100% chance of being sensitive to sunlight and ultraviolet (UV) rays, which can trigger disease exacerbation. Additionally, some patients may not be aware of their photosensitivi...[Read More] Can SLE Patients Safely Sunbathe for Vitamin D?
Which Medical Specialty Should You Consult After Abnormal Health Check Results?
Which medical specialty should you consult after a health check-up? Last October, my health check revealed the following abnormalities: My age is comparable to that of an elementary school student taking an exam, and I am concerned about the abnormal results. My serum globulin le...
Dr. Zeng Guosen Reply:
Hello, user: You have many questions. Iritis is related to rheumatology and immunology, while the other issues may be related to gastroenterology and cardiology. Please provide your health check report for the doctor’s reference. Start by consulting a rheumatologist or an immunol...[Read More] Which Medical Specialty Should You Consult After Abnormal Health Check Results?
Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants
Recurrent colds Hello doctor, I am currently taking steroids and immunosuppressants, but for the past two weeks, I have been experiencing continuous colds, tonsillitis, headaches, and a tight feeling in my chest. I feel chest pain when lying flat, and I become short of breath aft...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, the diseases treated with corticosteroids and immunosuppressants are generally autoimmune diseases, such as systemic lupus erythematosus and rheumatoid arthritis. If not well controlled, these conditions can also attack the lungs, leading to lung...[Read More] Understanding Recurrent Colds: Impact of Steroids and Immunosuppressants
Understanding Lupus: When to Seek Further Medical Advice
Systemic lupus erythematosus (SLE) Hello Doctor: Previously, my ANA test result was 1:160, and the attending physician believed that I do not have SLE, considering my facial rash to be seborrheic dermatitis. Therefore, I have not continued follow-up or medication for nearly a yea...
Dr. Zeng Guosen Reply:
Hello Summer: There are specific diagnostic criteria for systemic lupus erythematosus (SLE), and a positive antinuclear antibody (ANA) test alone does not confirm the diagnosis. Recently, you have experienced oral ulcers and joint pain; please refrain from self-medicating and see...[Read More] Understanding Lupus: When to Seek Further Medical Advice
Understanding Blood Clots: Causes, Treatments, and Medication Interactions
Thrombosis issues Hello Doctor, I have been experiencing dizziness (not vertigo, but a sensation similar to an earthquake) for the past five years, which led me to seek follow-up care in the rheumatology and immunology department. During this time, my antibody levels and inflamma...
Dr. Zeng Guosen Reply:
Dear MEGU, 1. A high D-dimer level does not necessarily indicate only thrombosis; moreover, aspirin is used to prevent the recurrence of thrombosis, not to address the underlying cause of your elevated D-dimer levels, so the data remains unchanged. You should consult a hematolog...[Read More] Understanding Blood Clots: Causes, Treatments, and Medication Interactions
Understanding Persistent Fever: Potential Underlying Diseases Explained
Recurrent fever Recurrent fever for five consecutive days without resolution could be caused by several conditions, including infections (such as viral or bacterial infections), autoimmune diseases (like systemic lupus erythematosus or rheumatoid arthritis), malignancies (such as...
Dr. Lin Mingfeng Reply:
Aside from common upper respiratory infections, the primary consideration for fever in young women is urinary tract infection (UTI). Patients often present with symptoms such as dysuria or flank pain. To determine the cause of fever, it is essential to correlate it with various c...[Read More] Understanding Persistent Fever: Potential Underlying Diseases Explained
Understanding Eye Symptoms and Complications in SLE Patients
Systemic lupus erythematosus (SLE) can have various symptoms and effects on the eyes, including: 1. **Dry Eyes**: Due to decreased tear production, leading to discomfort and irritation. 2. **Conjunctivitis**: Inflammation of the conjunctiva, which can cause redness and swelling ...
Dr. Zeng Guosen Reply:
1. Systemic lupus erythematosus (SLE) may be associated with dry eye syndrome, intraocular vasculitis, or cataracts caused by corticosteroid use. 2. Determining whether your dry eye syndrome is related to SLE must be assessed by a clinic physician; currently, there is no blood ...[Read More] Understanding Eye Symptoms and Complications in SLE Patients
Understanding the Connection Between Urticaria and SLE in Patients
About urticaria? Hello, doctor! I am a patient with Systemic Lupus Erythematosus (SLE) and have been stable for many years without any symptoms. Recently, I have been experiencing recurrent urticaria (hives). I would like to ask if there is a connection between urticaria and SLE....
Dr. Zeng Guosen Reply:
Hello, there are several possible reasons for urticaria in SLE patients: 1. Side effects from medications used to treat SLE; 2. Urticaria related to the SLE disease itself; 3. Other causes. It is important to consult your physician to help differentiate the cause. For SLE patient...[Read More] Understanding the Connection Between Urticaria and SLE in Patients
Understanding Low Platelet Count: Causes, Treatments, and Concerns
A low platelet count, confirmed by bone marrow examination, indicates a viral infection? Hello Doctor: On December 27, 2006, I visited a dermatologist due to purple spots and some bruising on my body. The doctor suggested that I go to the hospital for a blood test, suspecting tha...
Dr. Liao Zhongxin Reply:
Dear readers, 1. Regarding the low platelet count and accompanying purpura and bruising observed on December 27, 1995, common causes include liver dysfunction (cirrhosis), kidney dysfunction (dialysis), infections (viral infections, such as upper respiratory infections), hematol...[Read More] Understanding Low Platelet Count: Causes, Treatments, and Concerns
Essential Tips for Managing Discoid Lupus Erythematosus
Precautions for Systemic Lupus Erythematosus (SLE) Hello, doctor. I would like to ask if the coin-shaped erythematous lesions of lupus on the skin will improve after taking quinine. Additionally, should sunscreen be applied during winter and at night, and is it necessary to apply...
Dr. Xiao Yongxun Reply:
Subacute Cutaneous Lupus Erythematosus (SCLE) is commonly seen in young women and can be triggered by sun exposure. Approximately half of the patients may develop Systemic Lupus Erythematosus (SLE). Diagnosis is primarily based on medical history and immunopathological skin biops...[Read More] Essential Tips for Managing Discoid Lupus Erythematosus
Understanding Hair Loss in Lupus Patients: Causes and Treatments
Systemic lupus erythematosus (SLE) Hello, doctor. I have a friend who is only 28 years old and has been diagnosed with lupus erythematosus. She is also undergoing dialysis. Recently, I noticed that she has some bald patches on her scalp. Is this normal? Could it be related to str...
Dr. Chen Baoli Reply:
Hello VIVI: Regarding the issue of hair loss, it involves different types and quantities of hair loss, each with various causes and outcomes. It may be related to stress, nutrition, medications, or even the underlying disease itself. If it is related to the disease, it indicates ...[Read More] Understanding Hair Loss in Lupus Patients: Causes and Treatments
Understanding CRP and Procalcitonin: Key Indicators for Infection Monitoring
What is the CRP indicator? What is procalcitonin? What is the CRP indicator? During the SARS outbreak in 2003, procalcitonin was frequently mentioned. It seems to be used for monitoring infections now as well. I hope to understand more about this information. Thank you, from some...
Dr. Zheng Shuxing Reply:
Hello: CRP (C-reactive protein) and Procalcitonin are both protein substances secreted during inflammation in the body. Procalcitonin, in particular, tends to increase during bacterial infections, while CRP can also elevate in response to viral or other infections. Spontaneous in...[Read More] Understanding CRP and Procalcitonin: Key Indicators for Infection Monitoring
Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
The calculation of creatinine clearance (CCR) can be done using the following formula: \[ \text{CCR} = \ Hello Dr. Yang: I am a patient with Systemic Lupus Erythematosus (SLE) and currently suffering from nephrotic syndrome. My albumin levels have been around 2.8 to 3, and my ch...
Dr. Yang Jun Reply:
Hello: In response to your question, Systemic Lupus Erythematosus (SLE) is one of the causes of nephrotic syndrome. Treatment must focus on controlling the underlying disease (SLE) and reducing kidney function damage. A low-salt and low-protein diet is a method to slow down prote...[Read More] Understanding CCR Calculation for SLE Patients with Nephrotic Syndrome
Understanding Weakness in Hands and Feet: Causes and Solutions
Weakness in the limbs? Hello, I have been troubled by a long-standing issue where my hands and feet often feel weak. Sometimes, I even struggle to lift my hands to brush my teeth, and when I walk up stairs, it can get so severe that I end up kneeling down. I have low blood pressu...
Dr. Xiao Yongxun Reply:
Hello, in response to your question. The complaint of "weakness in the limbs" is common in clinical practice; however, due to the subjective nature of the experience, which varies from person to person, and the multitude of potential causes that lack specificity, it can...[Read More] Understanding Weakness in Hands and Feet: Causes and Solutions