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Dr. Don Thomas, MD

I am Dr. Donald Thomas, MD, a rheumatologist treating hundreds of lupus patients for over 30 years. Read my first blog post here to understand why I started this website and blog about “The Lupus Encyclopedia” and “The Lupus Secrets”.

Dr. Don Thomas also enjoys educating and empowering doctors, medical students, nurses, physician assistants, nurse practitioners, and patients.

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X-ray of lupus joint and muscle pain

Lupus Joint and Muscle Pain

Close to 90% of people with systemic lupus erythematosus (SLE) will have joint and muscle pain. Understanding lupus
Woman sitting on chair

Spotlight on a Good Poem by Devoted Lupus Warrior

Lupus by Lupus Warrior and Lupus Fighter Shanelle Gabrielle “​I still have a purpose … A reason to
Dr. Donald Thomas MD holding the new edition Lupus Encyclopedia A Comprehensive Guide for Patients and Health Care Providers

The Lupus Encyclopedia, edition 2: Now Available!

The Lupus Encyclopedia, edition 2: A Comprehensive Guide for Patients and Health Care Providers is now available at
Proton pump inhibitor induced subacute cutaneous lupus on upper back of woman with systemic lupus erythematosus

Subacute Cutaneous Lupus Due to Proton Pump Inhibitors

Proton pump inhibitor-induced subacute cutaneous lupus erythematosus: Clinical characteristics and outcomes In this post we’ll cover subacute cutaneous
Image that says CAR-T Cells made simple

CAR-T Cell Therapy For Lupus Made Simple (October 2024 UPDATE)

The field of CAR-T therapies in treating autoimmune diseases like lupus is rapidly expanding. As of April 2024,
Lupus and the Nervous System

Lupus and the Nervous System

Systemic lupus erythematosus (SLE) commonly affects the body’s nerves. Our nerves cause us to be able to feel
Map of the USA showing shortage of rheumatologists for lupus patients

Colossal Shortage of Rheumatologists is Here: Panic?

World-wide shortage of rheumatologists= getting worse. This is why it is getting harder to get an appointment with
COVID Booster vaccine for lupus patients is possible according to research study

Immunosuppressed Patients Respond to Booster Shots: Hope for a COVID Booster Vaccine for Lupus and Other Autoimmune Disease Patients? [Updated 8/12/21]

  Will a COVID Booster Vaccine for Lupus Patients Increase Response Rates? We do not know, yet. However,
Illustration of collecting a urine sample

How to collect a urine sample properly for testing (UPDATED January 2025)

    It is essential for lupus patients to regularly collect an accurate clean catch urine sample  
Sleep hygiene recommendations for lupus patients

Lupus and Sleep: Strategies to Sleep Better!

Lupus and Sleep Problems are Common: Strategies to improve your sleep (October 2024 Update) Tips on better sleep
blood test for Epstein Barr virus and mononucleosis

Epstein-Barr Virus Vaccine to Prevent Lupus and Other Diseases?

An Epstein Barr virus (EBV) vaccine to prevent lupus? EBV infection may be a common trigger, causing the
Text stating Mitochondria is the Powerhouse of the Cell a cause of fatigue in lupus

Fatigue in Lupus and Sjogren’s [December 2023 Update]

Abnormal mitochondria may play a role in fatigue in lupus: Exercise and NAC supplements appear to help February
White blood cells in urine or pyuria

Lupus and High White Blood Cells in Urine

Lupus is a chronic autoimmune disease commonly affecting the kidneys and blood cells. One of the lesser-known complications
methotrexate for lupus bottle of methotrexate on label

Methotrexate for lupus: help it work better and prevent side effects [January 2025]

Methotrexate is one of the safest and most effective drugs for lupus. Since the 1980s, it has been
Low vitamin D levels can make lupus worse

The Best Lupus Books? Look in the useful list below

Kelli of “More Than Lupus” describes what she considers the best lupus books ​ What are your favorite
Photo of sunspots: Johns Hopkins Lupus Center Reviews

Johns Hopkins Lupus Center Reviews: 2025 Sunspots & Milder Lupus?

Johns Hopkins Lupus Center Reviews: Could sunspots in 2025 lead to milder lupus? 2014 photo by NASA showing
Normal SD-OCT in a lupus patient

Rheumatologists: What if hydroxychloroquine eye tests show retinopathy [FEB 2023 Update]

Do not automatically stop hydroxychloroquine if your eye doctor tells you your patient has HCQ-retinopathy! Heed my practical
Lupus related hair loss

Hair and Skin Problems in Lupus

Lupus, a chronic autoimmune disease, affects multiple organs, including the skin. This article explores the nuanced relationship between
Dry cracked skin

Top Dermatologist Tips For Itchy, Dry Skin in Lupus and Sjögren’s [October 2024 Update]

Quick Advice Guaranteed to Help Most with Dry Itchy Skin: Stop using Dove and other soaps that say
exercise and lupus photo of a woman on a stationary bicycle

Weight Loss & Exercise in Lupus: the science & patient view

The video provided below offers valuable insights into practical information regarding weight management and exercise for individuals with
itchy skin like happens with lupus rashes

Itchy Skin Can Be a Sign of Active Lupus

Updated JUN 2023 Itchy skin can occur with active lupus rashes (cutaneous lupus). However, other causes are much
Urticaria hives allergic reaction in systemic lupus erythematosus SLE

Allergies and Itching after COVID vaccine? Announcing Research Here

Results from 64,900 vaccines: How often are allergies and itching after COVID vaccine? We’ll take a look at
Anti-cardiolipin antibodies and lupus

Anticardiolipin Antibodies and Lupus

The immune system of many lupus patients produce anticardiolipin antibodies. These antibodies, known for their connection to various
Woman holding thermometer to head during what is a lupus flare

What is a Lupus Flare: Prevent and Treat [January 2025]

Most people with systemic lupus erythematosus (SLE) will experience a lupus flare. Many have multiple flares. In this
Botox or filler injections for lupus picture of a woman getting a lip injection

Is it Safe to Receive Botox or Filler Injections For Lupus Patients?

A lupus patient at Kelli Roseta’s “More Than Lupus” asks the question ” … is it safe to
The Lupus Encyclopedia book cover 2nd edition

Three Potential Book Covers for The Lupus Encyclopedia 2nd Edition

THE VOTE IS IN! See the new book cover below 315 people voted for the new book cover
Dr. Donald Thomas MD holding the new edition Lupus Encyclopedia A Comprehensive Guide for Patients and Health Care Providers

Angela Deem of 90-Day Fiancé

  ​A gift for Christmas 2020, since I’m a 90-Day Fiancé fan. Angela wishes me a Merry Christmas and
Root cause of lupus research

New Research May Have Identified a Root Cause of Lupus

Lupus, a complex autoimmune disease, affects over a million people in the U.S. Researchers at Northwestern Medicine and
Beat cancer woman with pink gloves and pink ribbon for breast cancer

Lupus and Cancer Risk: Learn to Prevent Cancer! [August 2024]

People who have lupus have an increased risk for getting some cancers. Knowing what they are and how
COVID booster vaccine button

COVID Vaccines, Evusheld & Stopping Drugs for Shots [FEB 2023 Update]

  Stopping Methotrexate for 1 Week as Effective as 2 Weeks after Flu shots [FEB 2023 Update) This
Low vitamin D levels can make lupus worse

Lupus and Vitamin D Advice: Can be lowest in women of color

Lupus and vitamin D in Women of Color. Why and what to do- “Ask Dr. T!” question of
Lupus question should I get a 5th COVID vaccine and Evusheld

Do I need a 5th COVID Vaccine AND Evusheld if I have lupus? [December 2023 UPDATE]

December 2023 Update: Yearly Fall COVID shots and a replacement for Evusheld The coronavirus that causes COVID-19 has
Dry mouth from lupus and Sjogren

Lupus Can Cause Tooth Decay: How to Prevent Dry Mouth and Cavities (October 2024 Update)

Can lupus cause tooth decay? Learn here to lower your risk of losing teeth from dry mouth! ​
Antibody levels after COVID vaccine in patients taking immunosuppressant drugs

Antibody Levels After COVID Vaccine

Some Immunosuppressant Drugs Cause Lower Antibody Levels after COVID Vaccine than do Other Drugs Home » All »
VA disability for lupus

VA Disability for Lupus: Navigating Your Claim

Some veterans have an increased risk of developing lupus. When grappling with the complexities of lupus, a pressing
Photo of a black woman getting a botox injection

Botox Injections and Lupus

If you have lupus and are considering Botox injections for cosmetic or medical purposes, it’s important to understand
Benlysta is FDA approved to treat lupus nephritis

Benlysta approved for lupus nephritis: is it for mild cases?

Lupus Question of The Day: Is Benlysta for mild lupus nephritis? Ask Dr. T question and shortened answer
Newspaper on fire about lupus patients and COVID-19 vaccines

Provocative Advice: Lupus Patients need COVID Vaccines [2021]

Evaluation and recommendations by noted lupus experts: Lupus patients need COVID vaccines Hot off the press from Lupus
bacteria in urine bacteriuria can cause lupus flares

Bacteria in Urine Increases Lupus Flares

If we prevent bacteria in urine (bacteriuria), could we decrease lupus flares? Bacteria in urine was found in
Donald Thomas, MD reading a book while writing The Lupus Encyclopedia and The Lupus Secrets

The Lupus Secrets [Practical Tips for Living with Lupus]

Do you have lupus, then you absolutely want to learn about follow The Lupus Secrets so that you
Malar butterfly rash symptom of lupus

How to Diagnose Lupus: 10 Symptoms (October 2024 Update)

Lupus is a challenging autoimmune disease that can appear differently in each individual. Early diagnosis is crucial for
Image of woman taking a pill as a lupus fog treatment

Lupus Fog Treatment? Vitamin Improves Memory in Research

Finding an effective lupus fog treatment remains elusive. Yet, a 2023 study called the COcoa Supplement and Multivitamin
Anti-inflammatory diet for lupus patients

Lupus and Vegetarian Diet: What is the best medical evidence?

Ask Dr. T Question about lupus diet and vegetarians Lupus and Vegetarian Diet? Eating a Vegetarian Diet can
treatment of lupus showing a lot of pills tablets and capsules

Treatment of Lupus: Best Practices and Guidelines [January 2025]

The treatment of lupus has improved significantly over the past decade. Most patients can expect to go into
smart phone with apps

Arthritis – “it’s a Pain in the App” [Coping with lupus]

Guest post: One method of coping with the struggles of lupus Living and coping with the challenges of
Illustration of a clipboard, doctor and thyroid

Lupus and Thyroid Medications

Lupus is an autoimmune disease where the immune system can attack the thyroid gland as well as the
Melatonin being produced by the pineal gland in lupus

Melatonin For Lupus May be Good Per the Best Medical Evidence [NEW!]

Melatonin For Lupus: What does the Research Show?         (Updated August 2021) Why do people
close-up photo of persons eye

Lupus and The Eyes

Lupus, or systemic lupus erythematosus (SLE), is a chronic autoimmune disease that can affect multiple organs and systems,
Lupus headaches

Lupus Headaches: Causes, Symptoms, and Treatment

Lupus, or systemic lupus erythematosus (SLE), is an autoimmune disease that affects multiple organs and systems. One of
Person with lupus spreading COVID-19 by not wearing a mask

Super spreader COVID-19: Infections surge big due to this [Updated]

Super spreader COVID-19: New study shows the answers in the Annals of Internal Medicine Wear a mask to