Donald Thomas, MD@lupusencyclopedia· 1d deQuervains tenosynovitis due to an #SLE #lupus flare, clearly showing inflammatory tenosynovitis in the 1st image (the red areas).
Image 2: inserting the needle into the tendon sheath,
Image 3: the steroid entering the space around the tendon and within the sheath
Donald Thomas, MD@lupusencyclopedia· 6d 😍 Living well with #SLE #lupus takes more than drugs. Join us WED, AUG 26 at 7PM ET (4PM PT) for a free virtual Lupus & You event by the Lupus Foundation @LupusOrg filled with practical, everyday tips from me for living as healthy a life as possible with lupus.
Register at lupus.org/lupus-and-you
Donald Thomas, MD@lupusencyclopedia· 21d Ultraviolet (UV) light protection all year is important in disorders like #SLE #lupus #Sjogrens. Keep the car windows up. Older car side windows block 70% of UV light while newer cars block around 89%. Even better, get UV tinting:
CLICK www.lupusencyclopedia.com/lupus-and-ph...
Donald Thomas, MD@lupusencyclopedia· Jul 14 Interesting article showing that belimumab dosing can be lengthened in select #SLE #lupus patients. I would consider this in patients who are in sustained remission and off steroids. Serologically normal patients would be the best candidates:
lupus.bmj.com/content/lupu...
Donald Thomas, MD@lupusencyclopedia· Jul 4 Patients and their loved ones: register for the upcoming Sjogren's Symposium by @CrunchyAllergy;
Virtual Conference JUL 16-18. Register at the link bottom right of image.
Donald Thomas, MD@lupusencyclopedia· May 20 🔥Dosing hydroxychloroquine by body weight blindly leads to undertreatment in some patients while leading to toxic levels in others with SARDs like #SLE #lupus #Sjogrens. HCQ drug levels should be used to give better care to patients:
CLICK HERE 👉
rheumnow.com/news/hydroxy...
@rheumnow.bsky.social
Donald Thomas, MD@lupusencyclopedia· Apr 27 😍GREAT NEWS!
@FDA approves self-injectable #Saphnelo
Pen for #SLE #lupus! Once-weekly dosing: 120 mg per dose.
www.astrazeneca.com/media-centre...
NOTE: This is NOT sponsored AstraZeneca
Donald Thomas, MD@lupusencyclopedia· Mar 7 Link to our PDF article on how to dose hydroxychloroquine.
Link to the pdf article: 1drv.ms/b/c/37bf2c37...
Online Link:
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
Article published in Arthritis, Care, and Research has not gone through copy editing. This is a "Full Access" article.
Donald Thomas, MD@lupusencyclopedia· Mar 7 If you have #Sjogrens, come join us at the 2026 yearly Sjogrens Foundation National Patient Conference. Register at Sjogrens.org/get-involved/national-patient-conference
Donald Thomas, MD@lupusencyclopedia· Mar 7 Do you have #Sjogrens? Come join us at our yearly virtual National Patient Conference, where you will learn a ton about Sjogren's, what it is, how it is treated, and go away with a ton of practical advice you can put to use immediately in your own life:
sjogrens.org/get-involved...
Donald Thomas, MD@lupusencyclopedia· Jan 19 😍New AAO recommendations for HCQ screening
👉CLICK: www.aaojournal.org/article/S016...
Previously: Optical coherence tomography (OCT) and visual field (VF10-2) 10-2 as the screening tests of choice.
NEW RECOMMENDATION:
OCT plus a wide-pattern fundus autofluorescence (FAF)
Donald Thomas, MD@lupusencyclopedia· Jan 18 👉 I've known for years that chromatin antibodies fluctuate predictably with #SLE #lupus disease activity in some of my patients. Now a study confirms this:
lupus.bmj.com/content/13/1...
Donald Thomas, MD@lupusencyclopedia· Jan 18 ❤️🔥 #SLE #lupus:
lupus.bmj.com/content/12/2...
Moderate disease activity fullfills at least 1 of the following
Clinical SLEDAI: score between 4 and 8, excluding C3, C4, dsDNA.
Physician Global Assessment: > 1 and up to 2 on a 0–3 scale.
+ NO Severe SLEDAI and non-SLEDAI manifestations.
Donald Thomas, MD@lupusencyclopedia· Jan 10 👁️ It is Winter time when dry eyes in #Sjogrens #SLE #lupus can worsen. There are many easy tricks to help your dry eyes. If those fail, ask your doctor about the products in the image. See my post here:
www.lupusencyclopedia.com/dry-eyes-and...
Donald Thomas, MD@lupusencyclopedia· Dec 20 Lowest in NE
Highest in South #SLE #lupus
journals.sagepub.com/doi/10.1191/...
pubmed.ncbi.nlm.nih.gov/39936240/
acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
journals.sagepub.com/doi/10.1191/...
pubmed.ncbi.nlm.nih.gov/39936240/
acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
Donald Thomas, MD@lupusencyclopedia· Dec 20 😍A study shows that structured exercise and dietary changes improved energy and quality of life in #SLE #lupus .
journals.sagepub.com/doi/epub/10....
- three 40-minute home-based regimens per week
- exercises aimed at large muscles
- Mindful eating
- Eat unprocessed or minimally processed foods
Donald Thomas, MD@lupusencyclopedia· Dec 20 Dooren surprisingly showed that anti-Smith and RNP were reduced in tandem with antidsDNA. The fluctuations were not statistically significant, but numerically, they fluctuated with disease activity. I just checked a patient: her Smith DID as well.
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
Donald Thomas, MD@lupusencyclopedia· Dec 20 My Aunt’s cat, Molly, is a fan of my book but I don’t think she realizes it is upside down
Donald Thomas, MD@lupusencyclopedia· Dec 20 This is my Aunt Nikki who I dedicated my 2nd edition of The Lupus Encyclopedia. She means a lot to me and I love her very much. Of course she is spoiling me with delicious food. Where would we be without those who love and believing us?
Donald Thomas, MD@lupusencyclopedia· Dec 2 🔥 Knowing what to do for peripheral nervous system involvement in systemic autoimmune diseases like #Sjogrens #SLE #lupus is challenging. We now have evidence based guidelines that will help health care providers take better care of patients!
acrjournals.onlinelibrary.wiley.com/doi/abs/10.1...
Donald Thomas, MD@lupusencyclopedia· Nov 24 Boy! I cannot believe it has been 33 years of continuous rheumatology board certification! ABIM Foundation just sent me this. I think I might know what I am doing by now :-)
Donald Thomas, MD@lupusencyclopedia· Nov 15 Thanks Republicans and those Democrats who caved. This is the reality. You do not know what it is like to live pay check to pay check. You are hurting my patients!! These are posts on the lupus subreddit
Donald Thomas, MD@lupusencyclopedia· Nov 15 😍 I LOVE the @EULAR guidelines for 1st-line therapy for LN! If everyone did this IMMEDIATELY (include a CNI, obinutuzumab, or belimumab) instead of just mycophenolate or CYC with steroids, greater numbers of patients would go into renal remission & fewer to end stage renal disease! #SLE #lupus
Donald Thomas, MD@lupusencyclopedia· Nov 7 I just got a 22 page, 108 question drug prior auth for patient from @expressscripts.bsky.social @bluecrosspa.bsky.social for patient's adalimumab: she has been on for years. We proved she needed this many times in the past. My notes very clearly show how she failed so many and doing great on this.
Donald Thomas, MD@lupusencyclopedia· Oct 25 A wonderful awards and opening session at #ACR25 by the @ACRheum …. Celebrating better care for our patients…. Dedicated professionals who love our profession and giving to society
Donald Thomas, MD@lupusencyclopedia· Oct 21 Private practice rheumatologists: PLEASE: If you do not belong to the ACR, please do.
If you do, please volunteer for committees when the time opens up in a few months.
I just joined the Board of Directors and learned that only 10% of applicants are private practice!
rheumatology.org
