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Saturday, 14 July 2018

Managing Lupus and Work: Is Disability an Option?

July 14, 2018 0
Managing Lupus and Work: Is Disability an Option?
How can you keep a job when lupus lands you in the hospital a few times a year? When you literally can't get out of bed many mornings? What if you're self-employed and have to meet tight deadlines?
These are some of the questions about work issues voiced by people in the WebMD Lupus Community. And, as lupus activist Christine Miserandino points out, working when you have lupus is not just a matter of struggling with logistics. At some point, some people with lupus need to consider whether they should stop working altogether. If your career is your passion, an important part of your identity, or a financial necessity, it can be a tough decision to make.
Though many people with lupus need to contend with work-related issues, each person needs to deal with them in their own way, Miserandino says. She suggests considering these questions if you are struggling:
  • Can your employer make reasonable accommodations to help you stay on the job?
  • Can you telecommute, work at home part-time, or take on less stressful responsibilities?
  • Is applying for disability benefits an option?
  • People in the community have a variety of experiences to share about their struggles with work issues.
    One woman who reluctantly left her job and applied for disability has found new pursuits that bring her peace. She has started writing a book, has more time to care for her health, and still hopes to be able to work part-time.
    A former health care administrator suggests being honest with your boss. Though it can be difficult in some types of jobs or in a slow economy, she says, many employers are willing to allow more flexibility and accommodations.
    But another member of the community says that despite experiencing major and minor lupus flares, she has kept quiet about it with the administrators at her job. She believes they have demoted other employees with chronic illnesses and she doesn't want to face the same fate. Instead, she focuses on staying healthy, and puts all her energy into work. She has also told a few trusted co-workers about her lupus in case she has a flare at work.
  • Another woman, who worked 50 to 80 hours a week, says she took a short disability leave from her stressful routine, but it wasn't enough to ease her situation. Instead, she was able to work with her boss to restructure her duties, and she has purchased long-term care insurance for the day when she feels she can no longer work. Just knowing she has options has relieved some of her stress, she says.
    Do you have tips for working with lupus or for applying for disability? Share your strategies for working at a job or finding your way along the complicated route to securing disability benefits.

What Is my life expectancy if I have lupus?

July 14, 2018 0
What Is my life expectancy if I have lupus?

What is lupus?

Lupus is a long-term autoimmune disease. In people with lupus, the immune system attacks and causes inflammation in usually healthy cells, tissue, and organs. Symptoms and the organs that are affected differ from person to person.
Man holds his heart
Chest pain while deep breathing may be one symptom of lupus.
Experts are unsure what causes lupus, but they think the reasons could be linked to genes, environment, and hormones.
The main symptoms of lupus are tiredness, joint pain, and rashes. Some people may have very mild symptoms. Other times, lupus can flare up and make existing symptoms more severe or cause the person to develop new symptoms.
The American College of Rheumatology list various symptoms that doctors can use as a guide to diagnose lupus. These include:
  • Butterfly-shaped rash over the cheeks
  • Raised oval or round rash
  • Rash that appears on exposure to the sun
  • Mouth or nose sores that last from a few days to over a month
  • Arthritis
  • Lung or heart inflammation that causes chest pain while deep breathing
  • Blood or protein in urine
  • Seizures, strokes, or psychosis
  • Abnormal blood test results.
If a person has four or more of these symptoms, they should consult their doctor.

Outlook

As a result of early diagnosis and better treatment, lupus is no longer regarded as fatal for all people.
People who experience extreme flare-ups are more likely to have other life-threatening difficulties, such as damaged internal organs and tissues. How deadly lupus is depends on the severity of the disease, how the person's body responds to treatments, and other factors.
For people with lupus, some treatments can increase the risk of developing potentially fatal infections. However, the majority of people with lupus can expect a normal or near-normal life expectancy.
Research has shown that many people diagnosed with lupus have been living with the disease for up to 40 years.
In the future, scientists hope to identify people at risk of lupus through genetic studies. This will allow doctors to begin preventive treatment of known complications much earlier. They also hope to find the molecular pathways that cause lupus so they can target them for new therapies.

Effects

Lupus affects almost every part of the anatomy. How the complications are handled may play a role in how long the person with the condition lives and the quality of their life.
Some of the ways that lupus may affect the body are described below.

Brain and nervous system

According to the Lupus Research Alliance, about half of people with lupus experience problems with their ability to think. Around 1 in 5 experience headaches, memory loss, mood swings, and stroke. Almost 1 in 10 people develop blood clots, which may also lead to stroke.
If headaches do not get better with over-the-counter medicine, people with lupus should tell their doctor. Some headaches can be caused by vasculitis, a condition caused by inflammation of the blood vessels.

Eyes

Eye problems are common. People with lupus may notice:
  • Changes in the skin surrounding the eyes
  • Dry, "gritty" eyes - seen in 25 percent of people with lupus
  • Inflammation of the white protective layer of the eye
  • Retinal blood vessel changes - occurring in up to 28 percent of patients
  • Damage to nerves that control eye movement and vision
  • Sjögren's syndrome - an inability to produce enough tears - is apparent in 20 percent of lupus patients
  • Cataracts
  • Impaired vision
  • Vision loss.

Mouth

Lupus can affect the mouth in a variety of ways. Mouth sores, also known as oral lesions or ulcers, are one of the most common symptoms and occur in around 4 to 45 percent of people with lupus.
Drugs used to treat lupus, such as corticosteroids, can sometimes cause mouth dryness,cold sores, swelling, and yeast infections.

Skin

Many people with lupus develop skin problems, and rashes or sores are very common. Up to 70 percent of individuals with lupus are sensitive to ultraviolet (UV) rays in sunlight.
A butterfly-shaped rash appears across the cheeks and nose in around 40 percent of people. This rash is usually either blotchy or red over the whole area and slightly raised.

Blood

A mouth ulcer
Mouth ulcers may be a common sign of lupus.
Blood disorders are common in people with lupus, with red and white blood cells and platelets being affected. The main blood problems connected with lupus include:
  • Anemia - a shortage of red blood cells
  • Thrombosis - formation of blood clots
  • Vasculitis - inflammation of blood vessels
  • Thrombocytopenia - a condition that causes low levels of platelets
  • Leukopenia and neutropenia - conditions that cause low levels of white blood cells.

Heart

Heart disease is not only a major complication of lupus, but also the leading cause of deathamong people with the disease. More than half of lupus patients will develop a heart abnormality at some stage.
People with lupus are more susceptible to coronary heart disease because they often have more risk factors. These factors may include high blood pressure, high cholesterol, andtype 2 diabetes.

Lungs

Around 50 percent of people with lupus experience lung problems. Inflammation caused by the disease can affect the lungs, the lining of the lungs, lung blood vessels, and the diaphragm, causing:
  • Pleuritis - swelling of the membrane surrounding the lungs
  • Pneumonitis - inflammation of lung tissue
  • Chronic diffuse interstitial lung disease - where scar tissue prevents oxygen from moving from the lungs to the blood
  • Pulmonary embolism - where a blood clot blocks the flow of blood from the heart to the lungs.

Kidneys

Lupus that affects the kidneys is called lupus nephritis. It is thought that around 1 in 3people with lupus may develop this disease.
People with lupus nephritis may experience weight gain; puffiness in the feet, ankles, legs, and hands; blood in urine; and high blood pressure.
If untreated, kidney disease can increase the risk of problems such as heart attack and stroke and may progress to complete kidney failure.

Gastrointestinal system

The gastrointestinal system stretches from the mouth to the anus. It includes the organs that digest food and drink and dispose of waste.
Many people with lupus experience gastrointestinal problems due to the disease or side effects of medication used to treat it.

Bones and muscles

For more than half of people who develop lupus, joint pain is one of the first symptoms they may experience. More than 90 percent of lupus patients have joint and muscle pain at some point.
Other muscle and bone issues that arise from lupus include tendonitisbursitiscarpal tunnel syndrome, and osteoporosis.

Pregnancy

Women with lupus are at a higher risk of pregnancy complications, such as miscarriage, premature birth, and preeclampsia.
Corticosteroid medications used to treat lupus can cause high blood pressure in pregnant woman and increase their risk of gestational diabetes.
Many women with lupus give birth to full-term babies without any difficulties. Women with lupus should contact their doctor before becoming pregnant to ensure the best possible outcome for both mother and child.

Living with lupus

An older couple walk their dog in the countryside
Regular exercise is recommended for people with lupus.
There are many challenges that a person with lupus faces when living with the disease. Some of the medications to treat the disease can cause other problems. In order to live well with lupus, it is important to work with a doctor to ensure the right balance of drugs.
While drugs are an important part of controlling lupus, other steps can be taken by people with lupus to improve their lifestyle and their life expectancy:

  • Regular exercise - reduces muscular stiffness, prevents osteoporosis, relieves stress, protects the heart
  • Quitting smoking - prevents infections and heart attacks, decreases the risk ofpneumoniabronchitis, and coronary artery disease
  • Resting - relieves fatigue, reduces risk of flares, decreases pain sensitivity
  • Avoiding direct sun and fluorescent light exposure - protects against UV light sensitivity
  • Vitamin D - prevents osteoporosis from reduced sunlight exposure
  • Washing hands regularly - prevents infection
  • Managing pain - along with prescribed medication, hot showers, baths, and other stress relievers such as acupuncture, tai chi, yoga, and chiropractic may help
  • Managing mental health - seeking advice from a mental health expert can help with symptoms of depression.

Celebs who’ve battled Lupus

July 14, 2018 0
Celebs who’ve battled Lupus

1. Selena Gomez

celebrities with lupus
Selena Gomez, American actress and pop singer, recently revealed her diagnosis of lupus in an Instagram post that documented the kidney transplant she needed due to this disease.


2. Lady Gaga

celebrities with lupus
Although having never shown symptoms, this American singer, songwriter, and actress tested borderline positive for lupus in 2010.
“So as of right now,” she concluded in an interview with Larry King, “I do not have it. But I have to take good care of myself.”
She went on to note that her aunt died of lupus. Although there’s a higher risk for developing the disease when a relative has it, it’s still possible for the disease to lie dormant for many, many years — possibly the length of a person’s lifetime.
Lady Gaga continues to focus public attention on lupus as an acknowledged health condition.

Toni Braxton

celebrities with lupus
This Grammy Award–winning singer has openly struggled with lupus since 2011.
“Some days I can’t balance it all,” she said in aninterview with Huffpost Live in 2015. “I just have to lay in bed. Pretty much when you have lupus you feel like you have the flu every day. But some days you get through it. But for me, if I’m not feeling well, I tend to tell my kids, ‘Oh mommy’s just going to relax in bed today.’ I kind of take it easy.”
Despite her multiple hospital stays and dedicated days to resting, Braxton said she’s still never let her symptoms force her to cancel a show.
“Even if I can’t perform, I still figure it out. Sometimes I look back [at] that evening [and] I go, ‘How did I get through that?’”
In 2013, Braxton appeared on the Dr. Oz show to discuss living with lupus. She continues to be monitored regularly while still recording and performing music.

Nick Cannon

celebrities with lupus
Diagnosed in 2012, Nick Cannon, a multitalented American rapper, actor, comedian, director, screenwriter, producer, and entrepreneur, first experienced severe symptoms of lupus, including kidney failure and blood clots in his lung.
“It was super scary just because you don’t know… you’ve never heard of [lupus],” he said in an interview with HuffPost Live in 2016. “I knew nothing about it until I was diagnosed.… But to me, I’m healthier now than I’ve ever been before.”
Cannon stresses how important diet and taking other precautionary measures are to be able to forestall flare-ups. He believes that once you recognize that lupus is a livable condition, it’s then possible to overcome it with certain lifestyle changes and maintaining a strong support system.

Seal

celebrities with lupus
This award-winning English singer/songwriter first showed signs of a specific type of lupus called discoid lupus erythematous at age 23 with the emergence of facial scarring.
Although he’s not as outspoken about lupus as other celebrities living with the disease, Seal often talks about his art and music as a means through which to channel pain and suffering.
“I believe that in all forms of art there has to have been some initial adversity: that is what makes art, as far as I’m concerned,” he told an interviewer at The New York Times in 1996. “And it’s not something you outlive: once you experience it, it’s always with you.”

Kristen Johnston

celebrities with lupus
Diagnosed at age 46 with lupus myelitis, a rare form of lupus affecting the spinal cord, this comedic actress first showed signs of lupus when struggling to climb a flight of stairs. After 17 different doctors’ visits and months of painful tests, Johnson’s final diagnosis allowed her to receive treatment with chemotherapy and steroids, and she achieved remission six months later.
“Every single day is a gift, and I don’t take one second of it for granted,” she said in an interview with Peoplein 2014.
Johnston now practices sobriety after many years battling alcohol abuse and drug addiction.
“Everything was always masked by drugs and alcohol, so to go through this terrible experience it’s — I don’t know, I’m just a really happy human being. I’m just very grateful, very grateful.”
In 2014 Johnston also attended the 14th Annual Lupus LA Orange Ball in Beverly Hills, California, and has since continued to speak publically about the severity of her disease.

7. Trick Daddy

celebrities with lupus
Trick Daddy, an American rapper, actor, and producer, was diagnosed years ago with discoid lupus, although he no longer takes Western medicine to treat it.
“I stopped taking any medicine that they was giving me because for every medicine they gave me, I had to take a test or another medicine every 30 days or so to make sure that medicine wasn’t causing side effects — dealing with kidney or liver failure… I just said all together I ain’t taking no medicine,” he said in an interview with Vlad TV in 2009.
Trick Daddy told the interviewer he believes that many lupus treatments are Ponzi schemes, and that instead he continues to practice his “ghetto diet,” and that he feels wonderful, having had no recent complications.

Shannon Boxx

celebrities with lupus
This Gold-medal-winning American Olympic soccer player was diagnosed in 2007 at age 30 while playing for the U.S. National Team. During this time, she began showing repeated symptoms of fatigue, joint pain, and muscle soreness. She announced her diagnosis publically in 2012 and began working with the Lupus Foundation of America to spread awareness of the disease.
Before finding the right medication to tame her symptoms, Boxx told an interviewer at CNN in 2012 that she would “will herself” through her training sessions and later collapse on the couch for the remainder of the day. The medicine she currently takes helps to control the number of potential flare-ups, as well as the amount of inflammation in her body.
Her advice to others living with lupus:
“I believe it’s very important to have a support system — friends, family, the Lupus Foundation, and the Sjögren’s Foundation — that understands what you are going through. I think it’s important that you have someone who understands that you can feel good a majority of the time, but are there for you when a flare-up happens. I also believe it’s important to stay active, whatever level of activity feels comfortable to you. I hope this is where I have inspired people. I haven’t let this disease stop me from doing the sport that I love.”

9. Maurissa Tancharoen

celebrities with lupus
Diagnosed with lupus at a very early age, Maurissa Tancharoen, American television producer/writer, actress, singer, dancer, and lyricist, experiences chronic severe flare-ups that attack her kidneys and lungs, and also inflame her central nervous system.
In 2015, wanting to have a baby, she worked closely with her rheumatologist on a plan to attempt to have a child after two years of maintaining her lupus in a controlled state. After multiple scares and a long hospital stay during her pregnancy to keep her kidneys functioning properly, she gave birth early to a “little miracle” named Benny Sue.
“And now as a mom, a working mom,” she told an interviewer at the Lupus Foundation of America in 2016, an organization she and her husband strongly support, “it’s even harder because I could care less about myself. But if I’m not healthy, I’m not my best self for my daughter. I’m not going to miss some incredible milestone by resting for a half hour. That’s something I have to do for her and my husband.”

Saturday, 25 November 2017

Lab Tests for Lupus

November 25, 2017 0
Lab Tests for Lupus
Lupus is a difficult disease to diagnose, because its symptoms can be vague. And unlike some other diseases, it cannot be diagnosed with a single lab test. However, when certain clinical criteria are met, lab tests can help confirm a diagnosis of lupusBlood work and other tests can also help monitor the disease and show the effects of treatment.
WebMD takes a look at the uses and limitations of the tests that are commonly used to diagnose and monitor lupus.


Blood Tests for Lupus


Antinuclear Antibody (ANA)
  • What it is: ANA is a type of antibody directed against the cells' nuclei.
  • Why the test is used: ANA is present in nearly everybody with active lupus. Doctors often use the ANA test as a screening tool. Plus, looking at patterns of the antibodies can sometimes help doctors determine the specific disease a person has. That, in turn, helps determine which treatment would be most appropriate.
  • Limitations of the test: Although almost all people with lupus have the antibody, a positive result doesn't necessarily indicate lupus. Positive results are often seen with some other diseases and in a smaller percentage of people without lupus or other autoimmune disorders. So a positive ANA by itself is not enough for a lupus diagnosis. Doctors must consider the result of this test along with other criteria.

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How lupus is diagnosed: An overview

November 25, 2017 0
How lupus is diagnosed: An overview

In lupus, something goes wrong with your immune system, the part of the body that fights off viruses, bacteria, and germs. 
Normally, our immune system produces proteins called antibodies that protect the body from these foreign invaders. When you have lupus, your immune system cannot tell the difference between these foreign invaders and your body’s healthy tissues, so autoantibodies are made that damage and destroy healthy tissue (auto means self and anti means against, so autoantibody means against self). These autoantibodies cause inflammation, pain, and damage in various parts of the body.
A doctor who is considering the possibility of lupus will look for signs of inflammation which include, pain, heat, redness, swelling, and loss of function at a particular place in the body. Inflammation can occur on the inside of your body (your kidneys or heart, for example), on the outside (your skin), or both.
There are many challenges to reaching a lupus diagnosis. The disease is known as "the great imitator" because its symptoms mimic many other illnesses. The symptoms of lupus can also be unclear, come and go, or change over the course of the disease.
A physician will review the following while evaluating a lupus diagnosis:
  • Your current symptoms.
  • Your laboratory test results.
  • Your medical history.
  • The medical history of your close family members (grandparents, parents, brothers and sisters, aunts, uncles, cousins).
There is no single diagnostic test for systemic lupus. The test you will hear most about is called the antinuclear antibody (ANA) test. This is not a specific test for lupus, however. In fact, a variety of laboratory tests are used to detect physical changes or conditions in your body that can occur with lupus. Each test result adds more information to the picture your doctor is forming of your illness.
Laboratory tests alone cannot give a definite “yes” or “no” diagnosis because of the following limitations:
  • No single laboratory test can determine whether a person has lupus.
  • Test results that suggest lupus can be due to other illnesses or can even be seen in healthy people.
  • A test result may be positive one time and negative another time.
  • Different laboratories may produce different test results.
If multiple diagnostic criteria are present simultaneously, your physician may reach a lupus diagnosis. If, however, as is often the case, symptoms present gradually over time, the diagnosis may not be as obvious. In these cases, further consultation with a rheumatologist may be needed.