Advertisement · 728 × 90

Posts by Donald Thomas, MD

Preview
Sun Protection for Lupus Made Simple Live Longer and Better with Lupus! Whether you are a lupus patient seeking practical, easy to understand tips, or a healthcare provider wanting to treat your patients better, The Lupus Encyclopedia pr...

😎It is that time of year in the Northern Hemisphere! #SLE #lupus and many #Sjogrens patients should be wearing sunscreen all year round, but especially Spring and Summer! In this article, I simplify things.

www.lupusencyclopedia.com/sun-protecti...

6 days ago 1 0 0 0
Preview
Toward Optimal Dosing in Systemic Lupus Erythematosus: The Case for Hydroxychloroquine Blood Level Monitoring Click on the article title to read more.

🔥The modern, most accurate method of dosing hydroxychloroquine (HCQ) is by using drug levels and not by body weight.

acrjournals.onlinelibrary.wiley.com/doi/10.1002/...

www.lupusencyclopedia.com/top-tips-on-...

Best way to dose HCQ is to measure whole blood levels, goal: 750 – 1150 ng/mL.

6 days ago 1 0 0 0
Preview
How to have a successful pregnancy when you have lupus Most patients with lupus can now have a successful pregnancy if they plan for it properly. My new blog post gives an easy-to-follow step-by-step list of recommendations. SHARE with everyone who may be...

🫄Article by Dr. Siegel & Dr. Sammaritano supports #Benlysta & #Saphnelo in pregnancy.

www.lupusencyclopedia.com/successful-l...

I use biologics, such as Benlysta and Saphnelo, during pregnancy. I try to stop the biologic late in the 2nd trimester in order not to affect the newborn's immune system.

1 week ago 0 0 0 0
Preview
How to Prevent Lupus & Other Autoimmune Diseases [April 2026] This 2021 Harvard study shows that taking vitamin D and omega-3 fatty acids can reduce the risk of autoimmune disease: How to prevent lupu... Live Longer and Better with Lupus! Whether you are a lupus patient seeking practical, easy to understand tips, or a healthcare provider wanting to treat your patients better, The Lupus Encyclopedia pr...

Family members of people with autoimmune diseases are at increased risk of developing these disorders, but there are things they can do to lower their chances. Give your family members a copy of my recommendations: www.lupusencyclopedia.com/how-to-preve...

2 weeks ago 1 1 0 0
Preview
Lupus Lab Tests Explained: What Blood Tests Mean for Diagnosing and Monitoring Lupus Live Longer and Better with Lupus! Whether you are a lupus patient seeking practical, easy to understand tips, or a healthcare provider wanting to treat your patients better, The Lupus Encyclopedia pr...

www.lupusencyclopedia.com/lupus-lab-te...

2 weeks ago 0 0 0 0
Lupus: Sleep, Rest and Counting Spoons
Lupus: Sleep, Rest and Counting Spoons YouTube video by Kaleidoscope Fighting Lupus

There is a strong link between poor sleep and lupus. If you have an autoimmune disease like #SLE, #lupus, or #Sjogrens, getting enough good-quality sleep is really important. Learn more here: www.youtube.com/watch?v=4uP0...

Thanks to KALEIDOSCOPE FIGHTING LUPUS

3 weeks ago 2 0 0 0
Lupus and Low-Disease State
Lupus and Low-Disease State YouTube video by Kaleidoscope Fighting Lupus

🔥Our goal in treating #SLE #lupus is complete remission from active lupus inflammation and completely OFF steroids! However, that is not possible in many patients. In that case, we low disease activity is second best.
www.youtube.com/watch?v=ZFeJ...

3 weeks ago 3 1 0 0
Lupus and the Need for New Lab Tests
Lupus and the Need for New Lab Tests YouTube video by Kaleidoscope Fighting Lupus

😡 Almost all the labs we rely on to diagnose and follow disease activity in #SLE, #lupus, #Sjogrens are over 55 years old!
www.youtube.com/watch?v=JWit...
This leads to delayed diagnoses, mistakes in diagnosis, and mistakes in properly identifying disease activity and response to medications.

4 weeks ago 4 0 0 0
Post image

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.

1 month ago 1 0 1 0
Video

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

1 month ago 1 0 0 0
Advertisement
Post image

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...

1 month ago 2 1 2 0
Preview
What to Do after Lupus Diagnosis [March 2026 Update] Learn what to do after a lupus diagnosis. Get expert advice on treatment, lifestyle modifications, and support for managing lupus effectively.

😍 Know someone newly diagnosed with #SLE #lupus? Or someone who is unsure how to take the best care of their lupus? Share the link to my article on this topic, which gives practical advice on what to do and I explain in simple terms "What is Lupus"
www.lupusencyclopedia.com/how-to-succe...

1 month ago 1 1 0 0
Preview
Lupus and Sjögren’s Disease What is Lupus?Lupus, or systemic lupus erythematous (SLE), is a chronic (long-term) autoimmune disease. An autoimmune disease is when the body’s immune system attacks its own organs and tissues. It ca...

🔥 #SLE #lupus and #Sjogrens often occur together. The @SjogrensOrg just posted a very nice summary, patient-education piece on this topic:
sjogrens.org/understandin...

1 month ago 2 0 0 0
Preview
Decoding Love with Lupus: How the 5 Love Languages Can Transform Your Relationships When chronic illness enters a relationship, the language of love can sometimes get lost in translation. Dr. Gary Chapman's "5 Love Languages" theory offers a powerful framework for understanding how ...

😍 I can't believe it is almost Valentines Day!

www.morethanlupus.com/post/decodin...

From More Than Lupus

2 months ago 0 0 0 0
Preview
Types of Rash in Lupus: A Comprehensive Guide [February 2026 Update] Live Longer and Better with Lupus! Whether you are a lupus patient seeking practical, easy to understand tips, or a healthcare provider wanting to treat your patients better, The Lupus Encyclopedia pr...

⚡️Most #SLE patients will have cutaneous #lupus where it attacks their skin.

CLICK: www.lupusencyclopedia.com/types-of-ras...

I recommend that most lupus patients with cutaneous lupus also see a "medical dermatologist" regularly and especially see them for any unusual, new rash.

2 months ago 2 0 0 0
Post image

😍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)

3 months ago 1 1 0 0
Post image

😍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)

3 months ago 1 1 0 0
Advertisement
Post image

👉 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...

3 months ago 2 0 0 0
Preview
Quinacrine [January 2026 Update] This article on quinacrine is one of the most practical & complete sources for doctors & patients on how it is RXd and potential side effects

💊Study shows adding quinacrine (mepacrine and Atabrine) to hydroxychloroquine, immunosuppressants, steroids improves disease activity and was safe in #SLE #lupus.

Link to "How to Prescribe Quinacrine:

www.lupusencyclopedia.com/quinacrine/

Link to the study:

lupus.bmj.com/content/12/2...

3 months ago 2 0 0 0
Post image

❤️‍🔥 #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. ​

3 months ago 0 0 0 0
Post image

👁️ 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...

3 months ago 2 0 0 0
Preview
Top Dermatologist Tips For Itchy, Dry Skin in Lupus and Sjögren’s [January 2026 Update] Itchy, dry skin is common in lupus. Many lupus patients also have Sjögren’s disease overlap syndrome that causes dry skin, eyes, and mouth. Read this blog post to learn top dermatologist tips on dry s...

👉 Winter is the time of year when the air is typically very dry, leading to dry, itchy skin: a common problem for #SLE #lupus #Sjogrens. There are easy tricks to help dry, itchy skin:
www.lupusencyclopedia.com/dry-skin-in-...

3 months ago 3 0 0 0
Preview
The Lightness of Being: What to Leave Behind in 2025 As we step into 2026, many of us are doing the usual "New Year, New Me" dance. But when you live with Lupus or a chronic illness, that narrative can feel exhausting. We don’t need more "hustle"; we n...

www.morethanlupus.com/post/the-lig...

3 months ago 1 1 0 0

Blog #SLE #lupus

3 months ago 3 0 1 0
Preview
Undifferentiated Connective Tissue Disease: It Is Real! (Feb 2025 Update) Live Longer and Better with Lupus! Whether you are a lupus patient seeking practical, easy to understand tips, or a healthcare provider wanting to treat your patients better, The Lupus Encyclopedia pr...

UCTD explained in easy to understand language: www.lupusencyclopedia.com/uctd/

3 months ago 2 0 1 0
Preview
Looking Ahead: 5 Things to Be Mindful of When Navigating Lupus in 2026 If you are living with a chronic illness like lupus, you know that time is often measured differently. It’s measured in flare-ups and remissions, in appointments and lab results, and in the energy you...

A New Years blog post by @LupusMore
www.morethanlupus.com/post/looking...

3 months ago 1 0 0 0
Preview
The Lupus Encyclopedia: A Comprehensive Guide for Patients and Health Care Providers (A Johns Hopkins Press Health Book) The Lupus Encyclopedia: A Comprehensive Guide for Patients and Health Care Providers (A Johns Hopkins Press Health Book) [Thomas Jr., Donald E.] on Amazon.com. *FREE* shipping on qualifying offers. The Lupus Encyclopedia: A Comprehensive Guide for Patients and Health Care Providers (A Johns Hopkins Press Health Book)

The Lupus Encyclopedia: A Comprehensive Guide for Patients and Health Care Providers, edition 2

⚕️ RHEUMATOLOGISTS & PATIENTS: Learn practical tips and tricks for managing #SLE #lupus and understanding this disease.
tinyurl.com/2u5nddcu

1 year ago 5 3 0 1
Advertisement
Preview
Lupus Lab Tests Explained: What Blood Tests Mean for Diagnosing and Monitoring Lupus Live Longer and Better with Lupus! Whether you are a lupus patient seeking practical, easy to understand tips, or a healthcare provider wanting to treat your patients better, The Lupus Encyclopedia pr...

🩸Be proactive when you have #lupus #SLE #Sjogrens. After lab draws, go online to look at results. Look up each abnormal lab to learn more about how they may relate to your situation. ALWAYS ask your doctor as well. "How do these pertain to my situation?":
www.lupusencyclopedia.com/lupus-lab-te...

4 months ago 3 0 0 0
Preview
Top Dermatologist Tips For Itchy, Dry Skin in Lupus and Sjögren’s [December 2025 Update] Itchy, dry skin is common in lupus. Many lupus patients also have Sjögren’s disease overlap syndrome that causes dry skin, eyes, and mouth. Read this blog post to learn top dermatologist tips on dry s...

❄️ It is that time of the year! Dry, itchy skin!
#SLE #lupus and #Sjogrens patients are especially affected. I updated my dry skin care blog with tips from a dermatologist specializing in dry skin. I updated the recommended soaps:
www.lupusencyclopedia.com/dry-skin-in-...

4 months ago 2 0 0 0
Preview
Dry Eyes and Lupus: Eye Doctor Tips and Tricks [December 2025 Update] Live Longer and Better with Lupus! Whether you are a lupus patient seeking practical, easy to understand tips, or a healthcare provider wanting to treat your patients better, The Lupus Encyclopedia pr...

👁️ Many #SLE #lupus patients have dry eyes that worsen during Winter. Often, it is due to also having #Sjogrens (occurs in one fourth of SLE patients and most are undiagnosed).

I updated my dry eye care post and included newer and better therapies:
www.lupusencyclopedia.com/dry-eyes-and...

4 months ago 0 0 0 0