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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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News Flash COVID-19 vaccine for lupus patients

Covid-19 Vaccine for Lupus Patients: Please get your vaccine

Should We be Recommending the COVID-19 Vaccine for Lupus Patients?: Yes! What I tell my systemic lupus patients
Dr. Donald Thomas gets the COVID-19 vaccine

How the Covid-19 Vaccine Works: amazing!

It is amazing how the COVID-19 vaccine works (the mRNA vaccines, especially) It intrigues me how the COVID-19
Questions about lupus treatments and living with lupus

Living With Lupus Blog: The Lupus Encyclopedia – Q & A Video

Dr. Donald Thomas Answers Lupus Patients’ Questions on His Living With Lupus Blog: The Lupus Encyclopedia Watch this
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? Lupus A drawing by a 3-year-old Julian Lennon Flowers and gardening
Arm wrestling to see which is better for lupus nephritis: Lupkynis or Benlysta

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
wrist brace for joint protection for the wrist with lupus arthritis

Joint Protection Advice for Lupus Arthritis [July 2025 Update]

Joint protection is crucial in managing pain. When you rest a painful joint or tendon, you help decrease
Vacation safety with lupus

Traveling With Lupus – Advice From a Rheumatologist

Traveling with systemic lupus erythematosus (SLE) presents its unique challenges. Making sure that you stay as healthy and
A man with trigger finger due to tenosynovitis

Now Research Shows: Lupus tendinitis, common cause of lupus pain

Th Jaccoud’s arthropathy due to lupus tendinitis (lupus tendonitis) and lupus tenosynovitis What is lupus tendinitis (also spelled
Low vitamin D levels can make lupus worse

The Best Lupus Books? Look in the useful list below

Kelli of “More Than Lupus” describes what she considers the best lupus books ​ What are your favorite
Sunscreen on two fingers of a hand showing how much sunscreen to use for sun protection in lupus

Sun Protection for Lupus Made Simple

SSun protection for lupus is one of its most essential treatments. It is so important I include sunscreen
Image of the central nervous system for CNS lupus

CNS Lupus: When Lupus Affects the Brain & Spine

Lupus is an autoimmune disease that can attack the brain, spinal cord, and many other organs. When this
Woman taking pills out of a pill box organizer

Hydroxychloroquine Decreases the Risk of Death

Research article shows that taking hydroxychloroquine decreases the risk of death by 83%: Impact of Antimalarial Adherence on
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
Don Thomas, MD answers question about lupus and immune boosting supplements like Echinacea

Vitamins For Lupus: Avoid some is the best advice

Not All Supplements and Vitamins for Lupus Patients are Safe Vitamins for lupus patients: “Ask Dr. T!” question
Photo of sunspots: Johns Hopkins Lupus Center Reviews

Johns Hopkins Lupus Center Reviews: 2025 Sunspots & Milder Lupus?

Johns Hopkins Lupus Center Reviews: Could sunspots in 2025 lead to milder lupus? 2014 photo by NASA showing
Image of two kidneys and some doctors with the title chronic kidney disease

3 Ways to Stop Lupus Kidney Disease Progression [Jan 2025]

It is indeed possible to slow the progression of chronic kidney disease (CKD) in patients with lupus and
Malar butterfly rash symptom of lupus

Types of Rash in Lupus: A Comprehensive Guide [March 2025 Update]

Lupus patients have many more types of rash than the commonly discussed butterfly rash and discoid lupus. After
Person with lupus spreading COVID-19 by not wearing a mask

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
Anti-inflammatory diet for lupus and autoimmune diseases

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
Lupus patient with COVID coronavirus

Getting the COVID-19 Vaccine: Now see me excited to get it

What was it like getting the COVID-19 vaccine? … and some advice for lupus patients   A rheumatology
Anti-SSA (anti-Ro) in a lupus patient

Anti-SSA Test (anti-Ro): Know Your Labs

Anti-SSA is a positive blood test in many lupus and Sjogren’s disease patients. It is also called anti-Ro
systemic lupus can go into remission on medication

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
itchy skin like happens with lupus rashes

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
Lupus and cancer image of a woman with cancer cells internal organs and a cancer support ribbon

Lupus and Cancer: Lupus Encyclopedia

As if dealing with lupus alone wasn’t enough, there is an association between Lupus and Cancer. Lupus patients
Benlysta is FDA approved to treat lupus nephritis

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
Benlysta During Pregnancy - photo of pregnant woman

Benlysta During Pregnancy: Safe and Effective [UPDATE July 2024]

July 2024 Update on Benlysta in Pregnancy A review in the British Medical Journal discussed the recent studies
White blood cells in urine or pyuria

Lupus and High White Blood Cells in Urine

Elevated white blood cell (WBC) counts can arise in lupus patients for various reasons. This article will delve
Lupus medication list with drug allergy list including sulfa and Bactrim antibiotics

Good Advice on Lupus and Sulfa Antibiotics Like Bactrim [April 2025 Update]

Lupus and Bactrim: List sulfa antibiotics (like Bactrim) in your drug intolerance list if you have lupus Lupus
White woman with shoulder pain fibromyalgia autoimmune disease blog post

Is Fibromyalgia an Autoimmune Disease? Research suggests “YES!”

Research Article: Passive transfer of fibromyalgia symptoms from patients to mice Goebel A, Krock E, Gentry C, Israel
Model of the kidney

What to Know about a Lupus Nephritis Urine Sample [UPDATED June 2024]

Lupus patients should provide a urine sample regularly to see if there is possible inflammation of the kidneys
Lupus Mottled Skin

Lupus Mottled Skin & Symptoms (Feb 2025 Update)

One skin issue associated with systemic lupus erythematosus (SLE) is “mottled skin,” with livedo reticularis being one of
Anti-inflammatory diet for lupus patients

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
Woman sitting on chair

Spotlight on a Good Poem by Devoted Lupus Warrior

Lupus by Lupus Warrior and Lupus Fighter Shanelle Gabrielle “​I still have a purpose … A reason to
Graphs showing Lupkynis voclosporin efficacy in lupus nephritis Lancet article

Voclosporin for Lupus Nephritis: Great results in The Lancet

Note the impressively higher response rates in the blue bars (Lupkynis + mycophenolate + steroids) compared to pink
Pain from Fibromyalgia

Lupus and Fibromyalgia

Lupus and Fibromyalgia: Understanding the Connection Lupus and fibromyalgia are two distinct conditions, but they often coexist, causing
COVID Booster vaccine for lupus patients is possible according to research study

Immunosuppressed Patients Respond to Booster Shots: Hope for a COVID Booster Vaccine for Lupus and Other Autoimmune Disease Patients? [Updated 8/12/21]

  Will a COVID Booster Vaccine for Lupus Patients Increase Response Rates? We do not know, yet. However,
Black middle aged black doctor giving a heavy set white woman with lupus a flu shot

Lupus Flare After Flu Shot? Question of the Day Here

Do Flu Shots Cause Lupus Flares? Lupus flare after flu shot? Question of the day: Dr. Thomas, I
Childhood stress and lupus question answered by Dr. Donald Thomas

Childhood Trauma, PTSD, Racism, Stress, and Lupus

Crucially, multiple studies show that stress and trauma increase the risk of developing lupus, as well as causing
COVID-19 vaccine for lupus patients

Moderna and Pfizer Vaccines: How Effective is One COVID shot?

CDC Study answers this question Please get your COVID-19 vaccine! We all would like life to go back
Increase energy with lupus

Increase Energy with Lupus ([February 2025 Update]

Did you know that energy loss is the most common disabling problem in people living with systemic lupus
Asian woman doctor reading a chest x-ray showing pneumonia

New Pneumonia, Shingles, RSV, and Hepatitis Vaccine Recommendations [2024]

Centers for Disease Control 2024 Vaccine Recommendations In 2024 came out with its new vaccine recommendations. In this
Text stating Mitochondria is the Powerhouse of the Cell a cause of fatigue in lupus

Fatigue in Lupus and Sjogren’s [March 2025 Update]

Fatigue is one of the most common and disabling symptoms affecting individuals living with systemic lupus erythematosus (SLE).
Blood test for creatine phosphokinase (CPK)

Lupus and Creatine Phosphokinase

Systemic lupus erythematosus (SLE), commonly known as lupus, is a complex autoimmune disease that can affect multiple systems
Normal SD-OCT in a lupus patient

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! Read more about
Type 1 interferon cytokines are inhibited by the anifrolumab FDA approval drug

Anifrolumab FDA Approval to Treat Systemic Lupus [Saphnelo February 2025 Update]

Anifrolumab (Saphnelo) is the 2nd FDA-approved biologic to treat systemic lupus erythematosus (SLE). The first biologic was belimumab
Urticaria hives allergic reaction in systemic lupus erythematosus SLE

Allergies and Itching after COVID vaccine? Announcing Research Here

Results from 64,900 vaccines: How often are allergies and itching after COVID vaccine? We’ll take a look at
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
Lupus eye

Lupus Eyes

Have you ever wondered how lupus might secretly impact your eyesight? Most people know lupus can attack the
A lupus patient with Jaccoud

Lupus Tendonitis: A Common Cause of Pain in Lupus Patients

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

Research Results in Dealing with Autoimmune Disease Fatigue Now

The causes of fatigue and dealing with autoimmune disease fatigue. ​ Tips on how to improve energy with