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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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World Lupus Day 2026

World Lupus Day: Raising Global Awareness – May 10

World Lupus Day takes place every year on May 10 to raise global awareness about a complex autoimmune
COVID-19 vaccine for lupus patients answer by Dr. Don Thomas

Lupus and COVID vaccine: Tested in the clinical trials = safe and effective!

Lupus and COVID vaccine: Dr. Thomas recommends not waiting to his patients, read below… Research regarding the COVID
Lupus, the Heart and Blood Vessels

Lupus, the Heart and Blood Vessels [March 2025 Update]

Lupus can significantly impact the heart and blood vessels, known as the cardiovascular system. This article goes into
Image showing complications of dry mouth from lupus exocrine involvement

Lupus and The Exocrine Gland System: Sjögren’s Disease [Mar ’25 Update]

Lupus patients can have dry mouth, eyes, and skin. Most of the time, this is due to having
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,
Ozempic, Wegovy, Mounjaro, and Zepbound for weight loss in lupus, shown with GLP-1 injection pens, lupus butterfly, heart and kidney icons, and measuring tape.

Ozempic, Wegovy, Mounjaro, and Zepbound for Weight Loss in Lupus: What Patients Should Know

Many people with lupus ask me about the newer weight-loss and diabetes medicines such as Ozempic, Wegovy, Mounjaro,
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
Discoid lupus on the chest of a white woman Saphelo for lupus

Saphnelo for Lupus: One of Two Approved Biologics [February 2025 Update]

Anifrolumab (Saphnelo) effectively treats individuals with systemic lupus erythematosus. It reduces the overactivity of an immune system molecule
methotrexate for lupus bottle of methotrexate on label

Methotrexate for lupus: help it work better and prevent side effects [January 2025]

Methotrexate is one of the safest and most effective drugs for lupus. Since the 1980s, it has been
treatment of lupus showing a lot of pills tablets and capsules

Treatment of Lupus: Best Practices & Guidelines [May 2025 Update]

The treatment of lupus has improved significantly over the past decade. Most patients can expect to go into
Malar butterfly rash symptom of lupus

Types of Rash in Lupus: A Comprehensive Guide [February 2026 Update]

Lupus patients have many more types of rash than the commonly discussed butterfly rash and discoid lupus. After
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
smart phone with apps

Arthritis – “it’s a Pain in the App” [Coping with lupus]

Guest post: One method of coping with the struggles of lupus Living and coping with the challenges 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 related hair loss

Hair and Skin Problems in Lupus [Feb 2025 Update]

Most individuals with systemic lupus erythematosus (SLE) experience skin involvement or hair loss. There are many different types
Lupus headaches

Lupus Headaches: Causes, Symptoms, and Treatment [March 2025 Update]

Most systemic lupus erythematosus (SLE) patients get headaches. Are these due to lupus? Or are they due to
Beat cancer woman with pink gloves and pink ribbon for breast cancer

Lupus and Cancer Risk: Learn to Prevent Cancer! [August 2024]

People who have lupus have an increased risk for getting some cancers. Knowing what they are and how
VA disability for lupus

VA Disability for Lupus: Navigating Your Claim [Feb 2025 Update]

Startling statistic: A large study showed that Afghanistan and Iraqi veterans suffering from PTSD were twice as likely
The endocrine system and lupus

Lupus and The Endocrine System

Lupus, a complex autoimmune condition, impacts various systems in the body, including the endocrine system. The endocrine system
Lupus and purple spot

Lupus and Purple Spots on Skin

Low platelet counts (thrombocytopenia): Platelets are a type of blood cell that helps blood clot. This protects us
Lupus and the urinary system

Lupus and the Urinary System [March 2025 Update]

Kidney inflammation (lupus nephritis) occurs in around 45% of people who have systemic lupus erythematosus (SLE). Therefore, lupus
Vitamin D supplement preventing disease: How to prevent lupus

How to Prevent Lupus & Other Autoimmune Diseases [April 2026]

This blog post will give advice on how to prevent lupus and other autoimmune diseases. I will first
Lupus and infections

Lupus and Infections

Lupus infections remain one of the most serious complications for people living with the condition. Chapter 22 of
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
Survey about being diagnosed with lupus and The Lupus Foundation of America

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
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
Sea moss along the coast

Sea Moss as a Lupus Prebiotic

Patients ask about Sea Moss as a Lupus Prebiotic: Sea moss was never on my radar until 2022-2023.
Lupus symptoms in men

Symptoms of Lupus in Men [March 2025 Update]

While lupus is more common in women, 10% of lupus patients are men. Understanding the symptoms of lupus
Lupus and purple spots on skin

Lupus and Purple Rashes

What Are Purple Rashes on the Skin? Purple rashes on the skin can signal a variety of health
Proteinuria in lupus nephritis. This is what a kidney looks like

Proteinuria in Lupus Nephritis: Video tips and the bottom line [March 2025 UPDATE]

When excessive protein leaks from the kidneys and into the urine, it is called proteinuria. Proteinuria in lupus
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
Low vitamin D levels can make lupus worse

Lupus and Vitamin D Advice: Can be lowest in women of color

Lupus and vitamin D in Women of Color. Why and what to do- “Ask Dr. T!” question of
World Lupus Day awareness ribbon

World Lupus Day 2025

Every year on May 10, the world comes together to observe World Lupus Day. In 2025, this important
Lupus in Children and Adolescents

Lupus in Children and Adolescents

Lupus in children and adolescents, known as childhood-onset systemic lupus erythematosus (cSLE), is a complex autoimmune disease that
Proteinuria in lupus nephritis. This is what a kidney looks like

Lupus Nephritis Diagnosis: Now in a nutshell in this video [FEB 2025 UPDATE]

Lupus Nephritis Diagnosis in easy-to-understand language ___________________________ NOTE: Johns Hopkins University Press, publisher of The Lupus Encyclopedia, is a
Illustration of a clipboard, doctor and thyroid

Lupus and Thyroid Medications

Lupus and thyroid disease go hand in hand. The thyroid gland is at the front of the neck,
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
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 or other cannabis products for lupus?
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
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
Map of the USA showing shortage of rheumatologists for lupus patients

Colossal Shortage of Rheumatologists is Here: Panic?

The Worldwide Shortage of Rheumatologists: Why Wait Times Are Getting Worse Table of Contents: The Decline in Rheumatology
X-ray of lupus joint and muscle pain

Lupus Joint and Muscle Pain [February 2025 Update]

Close to 90% of people with systemic lupus erythematosus (SLE) will have joint and muscle pain. Fortunately, today’s
Lupus and the Nervous System

Lupus and the Nervous System

Systemic lupus erythematosus (SLE) commonly affects the body’s nerves. Our nerves cause us to be able to feel
Purple ribbon symbol for lupus flares

Improve Your Life: A Systemic Lupus Erythematosus Flare Test

Revolutionary New Lab Test: Predicts if a lupus patient will have a systemic lupus erythematosus flare! A systemic
Herbal supplements for lupus that worsen lupus

Supplements That Worsen Lupus & 6 That Help [March 2025 Update]

Lupus is an autoimmune disease where the immune system is overactive. This post discusses a 2024 research study
Discoid lupus causing scarring alopecia

How to Stop Lupus Hair Loss

How to stop lupus hair loss! – Yes! You can do things to help! And learn that much
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
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
Word Symptoms in Scrabble Tiles

Early Signs of Lupus: What to Look For (May 2025 Update)

We must diagnose systemic lupus erythematosus (SLE) soon after symptoms begin. The quicker we treat SLE, the less
Early signs of lupus in females

Early Signs of Lupus in Females

Lupus, an autoimmune disease, predominantly affects women. Around 90% of lupus patients are women, while 10% are men.