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Dr. Don Thomas, MD

I am Dr. Donald Thomas, MD, a rheumatologist treating hundreds of lupus patients for over 30 years. Read my first blog post here to understand why I started this website and blog about “The Lupus Encyclopedia” and “The Lupus Secrets”.

Dr. Don Thomas also enjoys educating and empowering doctors, medical students, nurses, physician assistants, nurse practitioners, and patients.

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Positive ANA workup – Is it lupus or not?

Read on to learn about newer tests that can help get a more accurate and faster diagnosis of
Image of woman taking a pill as a lupus fog treatment

Lupus Fog Treatment? Vitamin Improves Memory in Research

Finding an effective lupus fog treatment remains elusive. Yet, a 2023 study called the COcoa Supplement and Multivitamin

Lupus Tendonitis: A Common Cause of Pain in Lupus Patients

https://www.lupusencyclopedia.com/book-photos/#tendon…

Voclosporin for Lupus Nephritis: Great results in The Lancet

  Note the impressively higher response rates in the blue bars (Lupkynis + mycophenolate + steroids) compared to
Proteinuria in lupus nephritis. This is what a kidney looks like

Proteinuria in Lupus Nephritis: Video tips and the bottom line [FEB 2023 UPDATE]

UPDATE FEB 2023: Watch YouTube video about diagnosing lupus nephritis (LN) early, how it is diagnosed and what

Can Lupus Go Into Remission? – Now thrilled to say “Yes!”

Systemic Lupus Erythematosus (SLE) can go into a lupus remission on medications or treatment Lupus patient: “My doctor
Dry cracked skin

Top Dermatologist Tips For Itchy, Dry Skin in Lupus and Sjögren’s [JUN 2023 Update]

Quick Advice Guaranteed to Help Most with Dry Itchy Skin: Stop using Dove and other soaps that say
Beat cancer woman with pink gloves and pink ribbon for breast cancer

Lupus and Cancer Risk: Learn to Prevent Cancer! [2023]

I just realized that many websites discussing lupus and cancer are outdated, using old research information. So, I

COVID-19 deaths in rheumatic diseases

Research Shows More COVID-19 Deaths in Rheumatic Diseases: 10.5% of lupus and rheumatic disease patients died Much higher
Managing Bone Health With Drugs

Managing Bone Health With Bisphosphonate Drugs

Lupus is an autoimmune disease that can affect various parts of the body, including the bones. Individuals with
Antibody levels after COVID vaccine in patients taking immunosuppressant drugs

Antibody Levels After COVID Vaccine

Some Immunosuppressant Drugs Cause Lower Antibody Levels after COVID Vaccine than do Other Drugs Home » Exercise A
Text stating Mitochondria is the Powerhouse of the Cell a cause of fatigue in lupus

Fatigue in Lupus and Sjogren’s [February 2023 Update]

Mitochondria found to be abnormal in SLE patient by the NIH. Exercise repaired the mitochondria and energy levels
White blood cells in urine or pyuria

Lupus and High White Blood Cells in Urine

Lupus is a chronic autoimmune disease that can affect multiple organs and systems in the body. One of
Discoid lupus on the chest of a white woman Saphelo for lupus

Saphnelo for Lupus: One of Two Approved Biologics [JUN 2023]

Saphnelo for Lupus: It improved lupus in all domains tested. Anifrolumab (Saphnelo) has the lupus community excited a

Provocative Advice: Lupus Patients need COVID Vaccines [2021]

Evaluation and recommendations by noted lupus experts: Lupus patients need COVID vaccines Hot off the press from Lupus
Benlysta During Pregnancy - photo of pregnant woman

Benlysta During Pregnancy: Safe and Effective [UPDATE MARCH 2023]

March 2023 Update on using Benlysta during pregnancy A March 2023 study found low B-cells at birth in
Asian woman doctor reading a chest x-ray showing pneumonia

New Pneumonia, Shingles, and Hepatitis Vaccine Recommendations [2022]

Centers for Disease Control 2022 Recommendations In February 2022, the CDC came out with its new vaccine recommendations.

Participate in this lupus survey if you live in the USA [Survey is closed]

The Lupus Foundation of America wants to learn more about the difficulties in being diagnosed with lupus Click

Rheumatologists: What if hydroxychloroquine eye tests show retinopathy [FEB 2023 Update]

Do not automatically stop hydroxychloroquine if your eye doctor tells you your patient has HCQ-retinopathy! Heed my practical

Lupus and Vegetarian Diet: What is the best medical evidence?

Ask Dr. T Question about lupus diet and vegetarians Lupus and Vegetarian Diet? Eating a Vegetarian Diet can
Lupus and hives on arm

Lupus and Hives

Lupus is an autoimmune disorder that affects many people around the world. It is a chronic condition that

Lupkynis vs Benlysta for Lupus Nephritis: Dr. Thomas Has His Verdict!

Which is better for lupus nephritis? ​Here is my answer! Which is better for lupus nephritis? Benlysta or

“Do I need a mask after vaccination?” Now here is the truth

Please continue to protect yourself as you did before if you have lupus or another systemic autoimmune disease
Malar butterfly rash symptom of lupus

How to Diagnose Lupus: 10 Symptoms

Lupus is a challenging autoimmune disease that can appear differently in each individual. Early diagnosis is crucial for
estrogen levels by age in women and lupus from puberty to menopause

Lupus in Women: From Puberty to Menopause

Lupus in women occurs much more often than in men. There are many reasons this occurs. Also, lupus

Lupus and Taking Probiotics/Prebiotics: The truth [Updated JUL ’23]

Lupus and taking probiotics: Should you take probiotics if you have lupus, and what are the best probiotics
Type 1 interferon cytokines are inhibited by the anifrolumab FDA approval drug

Anifrolumab FDA approval to treat systemic lupus [Saphnelo]

Anifrolumab FDA Approval to Treat Systemic Lupus Erythematosus (SLE) AstraZeneca announced its anifrolumab FDA approval on 8/2/2021. In

Benlysta approved for lupus nephritis: is it for mild cases?

Lupus Question of The Day: Is Benlysta for mild lupus nephritis? Ask Dr. T question and shortened answer

How to collect a urine sample properly for testing (UPDATED August 2023)

  It is essential for lupus patients to regularly collect an accurate clean catch urine sample   August

What is Evusheld and Who Should Get Evusheld: Prevent COVID-19 [OCT 2022 Update]

What is Evusheld? It is a treatment to prevent COVID-19 infections. It is not a vaccine. It is

Can You Have Lupus With a Negative ANA Test? “Yes you can!”

Protect yourself from medical mistakes. Lupus Question of the day … It is not uncommon to ask, “can

Angela Deem of 90-Day Fiancé

  ​A gift for Christmas 2020, since I’m a 90-Day Fiancé fan. Angela wishes me a Merry Christmas and

Good Advice on Lupus and Bactrim [per sulfa antibiotic research]

Lupus and Bactrim: List sulfa antibiotics (like Bactrim) in your allergy list if you have lupus Lupus patients
Lennon Wall graffiti in Prague Czech Republic that says Lucy in the Sky with Diamonds

Lupus and “Lucy in the Sky with Diamonds”

What do the following have in common? LupusA drawing by a 3-year-oldJulian LennonFlowers and gardening suppliesAlice in WonderlandPink
Shingles (herpes zoster) in one of my lupus patients. Patients with lupus and vaccines

Lupus and Vaccines: Shingles, Shingrix, and Zostavax

Knowing how lupus and vaccines interact is important since infections are one of the top two causes of

Bottom Line on Diabetes vs Lupus and Stroke & Heart Attacks

Lupus and Stroke and Heart Attacks: A bigger problem than we thought! We have known for a long
Illustration of a clipboard, doctor and thyroid

Lupus and Thyroid Medications

Lupus is an autoimmune disease that affects various parts of the body, including the skin, joints, and organs.
The Lupus Encyclopedia book cover 2nd edition

Three Potential Book Covers for The Lupus Encyclopedia 2nd Edition

THE VOTE IS IN! See the new book cover below 315 people voted for the new book cover
Proton pump inhibitor induced subacute cutaneous lupus on upper back of woman with systemic lupus erythematosus

Subacute Cutaneous Lupus Due to Proton Pump Inhibitors

Proton pump inhibitor-induced subacute cutaneous lupus erythematosus: Clinical characteristics and outcomes In this post we’ll cover subacute cutaneous
blood vessels vascular with red blood cells floating inside an artery

Diabetes Drug Pioglitazone Helpful for Lupus [Suggests NIH study]

Lupus Research Article Peroxisome proliferator-activated receptor-γ agonist pioglitazone improves vascular and metabolic dysfunction in systemic lupus erythematosus This

Super spreader COVID-19: Infections surge big due to this [Updated]

Super spreader COVID-19: New study shows the answers in the Annals of Internal Medicine Wear a mask to
CBD for lupus medical marijuana leaf symbol

CBD for Lupus: Look here for the best advice [2023 Update]

  Medical Marijuana (Cannabis, Cannabinoids, THC, CBD for Lupus)? Should patients use CBD for lupus? With the increasing

Anti-inflammatory Diet for Autoimmune Disease: New Research (AI Protocol)

The Autoimmune Protocol (AI protocol) is another term for the anti-inflammatory diet. The chart below was shown to

FDA approves Benlysta for lupus nephritis!

1st drug ever FDA-approved to treat lupus nephritis ​Historic mile-stone! ​ December 16, 2020: The FDA approved on

Colossal Shortage of Rheumatologists is Here: Panic?

World-wide shortage of rheumatologists= getting worse. This is why it is getting harder to get an appointment with

Lupus and Stress Management: How to lessen stress life

Lupus and Stress Management: The Science of Stress and the Immune System The video below goes over lupus

Itchy Skin Can Be a Sign of Active Lupus

Updated JUN 2023 Itchy skin can occur with active lupus rashes (cutaneous lupus). However, other causes are much
Two arm wrestlers representing Saphnelo vs Benlysta

Saphnelo vs Benlysta? What is the Best Medicine for Lupus? [JUN 2023 Update]

Update June 2023 A EULAR 2023 abstract showed that Saphnelo is a disease-modifying agent in the 2-5 year

How Severe is Your Lupus? Use a Lupus Severity Index

Read on: learn how you to figure out your lupus disease activity And why it is important Why

The aiSLE DX Flare Risk Index Test: A new lupus lab test

The aiSLE DX Flare Risk Index test The Lupus Foundation of America, in its continuous quest to advocate