Systemic Lupus Erythematosus

Systemic lupus erythematosus (SLE), an autoimmune disorder, affects the healthy immune system. Heredity, viruses, and ultraviolet rays play some role in causing SLE. The signs and symptoms include Raynaud's phenomenon, pericarditis, joint pain, and hair loss. Anti-inflammatory medications help to treat this condition.

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Are muscle spasm, fibromyalgia, and body imbalance signs of lupus disease?

Query: Hello doctor, I have muscle spasms, headaches, severe fibromyalgia, burning, and stabbing sensation throughout my whole body with imbalance problems. I had these problems for several years. Few years back, I had whiplash. Rheumatologist is checking for possible signs of lupus and other illnesses an...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, your problem is muscle spasms, headache, severe fibromyalgia, burning, and stabbing sensation throughout the whole body with balance problems. According to your investigation report (attachment removed to prot...  Read Full »

Why do I have persistent discomfort and abdominal pain even after undergoing ERCP for ampullary stricture due to SLE?

Query: Hello doctor, I am 24 years old. I was diagnosed with SLE ten years ago. I have stomach pain now. The MRCP showed a stricture at the ampulla, so ERCP and partial stricture dilatation were done. Still, l have discomfort. Now amylase and lipase levels are normal. I am taking enzyme supplements.  Read Full »


Dr. Ghulam Fareed

Answer: Hello, Welcome to icliniq. com. I have reviewed your case history and attached investigations (attachments removed to protect the patient's identity). There were features suggestive of chronic pancreatitis and ampullary stricture dilated during the surgery. It is great that your current amylase an...  Read Full »

I am a 25-year-old suffering from SLE; my amylase and lipase levels are high, and I have stomach discomfort. Kindly help.

Query: Hello doctor, I am 25-year-old suffering from SLE. The abdominal pain started three months ago. First, MRCP was done, and it revealed a stricture at the ampulla. Then, ERCP was done due to severe obstruction. At that time, the lipase level was 350 U/L, and amylase was 120 U/L. After three months, on...  Read Full »


Dr. Ghulam Fareed

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I reviewed your query. Your lipase level is normal now, but checking your liver function tests, especially alkaline phosphatase levels and blood tests, is essential. I have a few questions. Did they dilate that stricture or place a plastic ...  Read Full »

What does it mean if you have an elevated ESR?

Query: Hi doctor, My wife is 32 years old, and she recently got a blood test done and her ESR is 120. She frequently falls sick and suffers from leg pains, body pains, and sore throat. We consulted the doctor, and he said some infection is hidden but not coming out. I am much worried about her health. Can...  Read Full »


Dr. Rohit Jain

Answer: Hi, Welcome to icliniq.com. Only ESR (erythrocyte sedimentation rate) does not tell us anything specific. We need more details to find out where the infection is. In arthritic diseases, an elevated ESR is most closely associated with polymyalgia rheumatica (PMR) and giant cell arteritis (GCA). Rhe...  Read Full »

How to cure my back pain which has been there for more than seven years?

Query: Hello doctor, I am a 29 year old female. I have been dealing with back pain for over seven years now. I have never been in any type of injury and had MRIs done of my brain, cervical, lumbar, and thoracic spine five years ago. They stated I had three bulging discs and an annular tear. My thoracic sp...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post. You have not mentioned what you want to know and what your current problem is. You have degenerative disc disease involving both cervical and dorsal spines; however, there is no significant canal stenosis. I am sure you are not also symptomat...  Read Full »

Will drug-induced lupus affect my kidneys and lungs?

Query: Hi doctor,I have a neurological problem associated with rheumatology. I have had twitching in the body for the past four months and numb sparks in my hands and legs. I consulted a doctor from a reputed hospital. I took a nerve conduction test and other tests like an antinuclear antibody test, anti-d...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I understand your concern. You have undergone some investigations and found that it may be drug-induced SLE (systemic lupus erythematosus). Drug-induced lupus is the milder form of SLE (systemic lupus erythematosus) and is a temporary condition. Unlike SLE (systemic l...  Read Full »

Please suggest ways to protect me from sunlight.

Query: Hi doctor, Two years back during my holidays, I developed a large rash over the whole of my legs. It was described as petechiae when I got back to my native. The infection had got into my blood stream and my white blood cell count was extremely high. It took some time for it to return to normal. I a...  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hi, Welcome to icliniq.com. The problem quoted by you as a petechia with blood stream infection and increased white blood cell count is broad in the sense it can include, Sepsis due to bacterial infection. Viral hemorrhagic fever. Parasitic infections. Whatever might be the cause; infe...  Read Full »

Is Sjogren's syndrome same as SLE?

Query: Hi doctor,I have got a form of lupus called Sjogren's syndrome but I want to know if it is the same as SLE lupus or not as some hospitals say it is and some say it is not and I am very confused.  Read Full »


Dr. Lohit Chauhan

Answer: Hi, Welcome to icliniq.com. Sjogren's syndrome (SS) and SLE are two different forms of autoimmune inflammatory disorders which affect the joints, skin, glandular tissue. There are certain similarities between the two but generally, Sjogren's is characterized by decreased secretions from the lacrim...  Read Full »

Can a rheumatologist diagnose the cause of enlarged lymph nodes from biopsy reports?

Query: Hi doctor,I had enlarged lymph nodes on both sides of the neck. I sought a consult and had a neck dissection and biopsy. I believe I am healthy. I do not feel anything except for the enlarged lymph nodes. It was noted in the result Histiocytic Necrotizing Lymphadenitis consider:1.Kikuchi-Fujimoto2.L...  Read Full »


Dr. Geetha Priyadarsini Kamminana

Answer: Hello, Welcome to icliniq.com. I have gone through the details submitted. Localized painless cervical lymphadenopathy, kikuchi's lymphadenitis, is a well-known, though uncommon idiopathic lymphadenitis. It is a self-limiting entity and will remit on its own. The close differential diagnosis i...  Read Full »

I have back, knee, and joints pain. Is it an autoimmune disorder?

Query: Hello doctor, I am experiencing back pain, knee pain and aching joints. I have severe burning sensation across my entire mid abdomen. Autoimmune disease runs in my family. Previously, I used to get red rashes all over my body from time to time over the years. My doctor is testing for Lupus. I have h...  Read Full »


Dr. Hitesh Kumar

Answer: Hi, Welcome to icliniq.com. As per your description, it seems to be an autoimmune disease. In the available blood reports (attachment removed to protect patient identity), the antinuclear antigen (ANA) is positive. ANA is the common marker for autoimmune diseases. You might be suffering from system...  Read Full »

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