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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Symptoms Of Lupus?

I have autoimmune system R/A and Lupus I get soar like pimples inside one ear and last a couple of weeks and then before it s over I have it in the next ear. What is this why do I get these and how to prevent it! What medicine would be good? I get ear infection frequent along with the soars in them,I get sores in my mouth and inside my nose is this just another symptom of the Lupus?
Wed, 3 Jun 2015
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.
Painful oral or nasal ulceration are common in SLE (Systemic Lupus Erythematosus).
Migratory rashes , either papulo-squamous or annular can occur in Subacute cutaneous lupus erythematosus(SCLE).
Low dose corticosteroid is indicated in debilitating skin or oral lesion lesions.





Regards

Dr. T.K. Biswas M.D.
Mumbai
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Dermatologist Dr. Rasesh Patel's  Response
Hello dear,

brief answer,
yes these are symptoms of lupus.

detailed answer,
as you know in autoimmune disease, our body s immune system reacts against the normal cells of the body, which leads to the different organ damage and in skin it presents as rash or sores,
We can definitely control the disease,
sunlight, any source of infection in the body , some specific drugs,are the major precipitating factors and can worsen the condition. So avoid the sun totally. Use cap or hat, sunblock and avoid unnecessary outing,

in treatment, I think you have localized disease at present, you can try topical steroid cream, for ear as well as for mouth and nose,tacrolimus cream can also be helpful.

Oral hydroxy chloroquine 200 mg 1 tab twice a day should work in your case, if no response than short course steroid to control the diseas, and drugs like cylophosphamide methotrexate azathioprine should be taken,to maintain the remision,

these above drugs will be helpful in RA also, but do get prescribed by doctor and than take it,


thank you,
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What Are The Symptoms Of Lupus?

Hi, Thank you for your query. I can understand your concerns. Painful oral or nasal ulceration are common in SLE (Systemic Lupus Erythematosus). Migratory rashes , either papulo-squamous or annular can occur in Subacute cutaneous lupus erythematosus(SCLE). Low dose corticosteroid is indicated in debilitating skin or oral lesion lesions. Regards Dr. T.K. Biswas M.D. Mumbai