Pediatric Lupus

Lupus Prognosis, Special Populations, and Health Care Disparities

Prognosis, Special Populations, and Health Care Disparities

March 10, 2026

Lupus is a complex autoimmune condition which can affect different groups of people in different ways. This makes it crucial to understand how prognosis, special populations, and health care disparities influence disease outcomes. The chapter “Prognosis, Special Populations, and Health …

Blood test for creatine phosphokinase (CPK)

Lupus and Creatine Phosphokinase

January 8, 2025

Systemic lupus erythematosus (SLE), commonly known as lupus, is a complex autoimmune disease that can affect multiple systems in the body. One of the lesser-discussed but critical aspects of lupus is its impact on creatine phosphokinase (CPK) levels, which can …

sick girl for blog about children with kidney inflammation blog post

Benlysta for pediatric lupus nephritis: FDA-approved

August 2, 2022

Benlysta for children with lupus kidney inflammation (lupus nephritis): FDA-approved on July 26, 2022

This is a monumental breakthrough since children with systemic lupus tend to be sicker than adults. FDA (US Food and Drug Administration) approval of drugs for …

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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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

Lupus life expectancy

Understanding Lupus Life Expectancy [Feb 2025 Update]

Dr. Thomas has systemic lupus erythematosus (SLE) patients in their 70s, 80s, and 90s! Living with lupus is

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: Benlysta or Lupkynis? Which is better for lupus nephritis? Benlysta or Lupkyinis?

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

Use of DHEA in lupus patients

DHEA and Lupus: Research shows it to be useful and good in some

Other Facts about DHEA and lupus – DHEA and lupus: DHEA stands for DeHydroEpiAndrosterone – Produced by the

A lupus Coombs test being done in a lab

Understanding the Lupus Coombs Test (March2025 Update)

The Direct Coombs test is a criterion in the systemic lupus erythematosus (SLE) classification criteria. It is also

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

Anatomical drawing of a kidney with artery, vein, and ureter

Benlysta for lupus nephritis: Studies show it is effective

Hot off the press SEP 2020! The future is very bright for lupus treatments! The future

Root cause of lupus research

New Research: A Root Cause of Lupus? [Reported July 2024]

New research claimed they discovered a root cause of lupus. Researchers at Northwestern Medicine and Brigham and Women’s

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

Dry mouth from lupus and Sjogren

Lupus Can Cause Tooth Decay: How to Prevent Dry Mouth and Cavities (October 2025 Update)

Lupus patients have a high rate of poor dental health and tend to lose their teeth at a

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

Two arm wrestlers representing Saphnelo vs Benlysta

Saphnelo vs Benlysta? What is the Best Medicine for Lupus? [February 2025]

Saphnelo and Benlysta are two FDA-approved biologics for treating systemic lupus erythematosus (SLE). They work in two very

Man with yellow eyes due to jaundice from hepatitis

Lupus and Hepatitis B Vaccine: Endorsed in the CDC guidelines

Lupus and Hepatitis B Addendum: The recommendations for hepatitis B vaccines changed in 2022. The CDC recommended that

Lupus patient getting intravenous immunoglobulin

Intravenous Immunoglobulin: IVIG for Systemic Lupus Erythematosus

Immune globulins (also called immunoglobulins) are antibodies. A large number of antibodies given in IVIG for systemic lupus

Two thumbs up

FDA approves Benlysta for lupus nephritis December 2020

Benlysta (belimumab) is the 1st drug ever FDA-approved to treat lupus nephritis Historic milestone! ___________________________ NOTE: Johns Hopkins

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

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

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

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

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

Woman who has a malar rash (butterfly rash) due to lupus with lupus disease activity

How Severe is Your Lupus? Use a Lupus Severity Index [May 2025 Update)

Our goal in treating systemic lupus erythematosus is complete remission while using medications that include hydroxychloroquine (if not

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.

Anti-SSA (anti-Ro) in a lupus patient

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

Understanding the Anti-SSA (Anti-Ro) Blood Test in Lupus and Sjögren’s Have you recently received a positive anti-SSA blood

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).

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

Discoid lupus erythematosus on the cheek of a white woman with systemic lupus

Can Discoid Lupus Turn into Systemic?- “Sure” Now more about the truth

The Latest Research Answers the Question: “Can discoid lupus turn into systemic lupus erythematosus?” Discoid lupus: note the

Illustration of collecting a urine sample

How to collect a urine sample properly for testing (UPDATED January 2025)

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

Lupus and the digestive system

Lupus and The Digestive System

Systemic lupus erythematosus (SLE), commonly known as lupus, is an autoimmune disorder that can affect nearly every organ

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

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

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

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

Drawing of an electron microscopic view of the hepatitis C virus

Lupus and Hepatitis C: Lupus Patients Should be Tested for Hepatitis C

The interactions of hepatitis C and systemic lupus is strange, and hepatitis C can mimic lupus … read

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

X-ray of respiratory system

Lupus and the Respiratory System [March 2025 Update]

The respiratory system, or the pulmonary system, is commonly affected by systemic lupus erythematosus (SLE). This system plays

Lupus Prognosis, Special Populations, and Health Care Disparities

Prognosis, Special Populations, and Health Care Disparities

Lupus is a complex autoimmune condition which can affect different groups of people in different ways. This makes

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

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 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

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

salmon for anti-inflammatory diet with vegetables

Lupus Anti-Inflammatory Diet: Lifestyle changes advice [January 2025]

Eating a diet high in foods that decrease inflammation while avoiding or minimizing foods that increase inflammation can

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

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

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

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

Anti-chromatin antibodies attach to chromatin in lupus patients

Chromatin antibody: Make sure you know your labs [January 2026 UPDATE]

Some systemic lupus erythematosus (SLE) are positive for anti-chromatin antibodies. This is an interesting antibody that has some

Coronavirus vaccine for COVID-19 and lupus patients

COVID Vaccine for Immunocompromised Patients and What Drugs to Stop [December 2023 UPDATE]

The American College of Rheumatology Provides Guidance for stopping drugs to enhance the COVID vaccine for immunocompromised patients

exercise and lupus photo of a woman on a stationary bicycle

Weight Loss & Exercise in Lupus: the science & patient view [March 2025 Update]

Weight loss & exercise provide many benefits to lupus patients. Healthcare providers consider exercise as “free medication” with

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