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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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Stomach pain in lupus

Lupus Stomach Medications: Gastrointestinal Symptoms

Gastrointestinal (GI) symptoms and problems are common in lupus patients and can significantly impact their quality of life.
Anti-cardiolipin antibodies and lupus

Anticardiolipin Antibodies and Lupus [Feb 2025 Update]

Anticardiolipin antibodies (ACLA), a type of antiphospholipid antibody, can thicken the blood and potentially cause devastating blood clots
News Flash COVID-19 vaccine for lupus patients

Covid-19 Vaccine for Lupus Patients: Please get your vaccine

Should We be Recommending the COVID-19 Vaccine for Lupus Patients?: Yes! What I tell my systemic lupus patients
Bisphosphonate drugs and lupus

Bisphosphonate Drugs and Lupus

Many SLE patients have fractures in their spine (vertebral fractures), and around half do not realize it. After
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 » Flares In
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
shingles on the back of a white person

Lupus and Vaccines: Shingles, Shingrix, and Zostavax

Knowing how lupus and vaccines interact is important since infections are one of the top two causes of
Lupus patient getting intravenous immunoglobulin

Intravenous Immunoglobulin: IVIG for Systemic Lupus Erythematosus

Immune globulins (also called immunoglobulins) are antibodies. A large number of antibodies given in IVIG for systemic lupus
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
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
systemic lupus can go into remission on medication

Can Lupus Go Into Remission? – Now thrilled to say “Yes!”

Systemic Lupus Erythematosus (SLE) can go into a lupus remission on medications or treatment Lupus patient: “My doctor
Discoid lupus causing scarring alopecia

How to Stop Lupus Hair Loss:

How to stop lupus hair loss! – Yes! You can do things to help! And learn that much
Connective Tissue Disease written on a white board by a doctor

Undifferentiated Connective Tissue Disease: It Is Real! (Feb 2025 Update)

Undifferentiated connective tissue disease (UCTD) is one of the most common diagnoses made by rheumatologists. Many systemic lupus
Word Symptoms in Scrabble Tiles

Early Signs of Lupus: What to Look For

Lupus is a chronic autoimmune disease that can affect any part of the body. Early diagnosis is key
Purple ribbon symbol for lupus flares

Improve Your Life: A Systemic Lupus Erythematosus Flare Test

Revolutionary New Lab Test: Predicts if a lupus patient will have a systemic lupus erythematosus flare! A systemic
White woman with shoulder pain fibromyalgia autoimmune disease blog post

Is Fibromyalgia an Autoimmune Disease? Research suggests “YES!”

Research Article: Passive transfer of fibromyalgia symptoms from patients to mice Goebel A, Krock E, Gentry C, Israel
Root cause of lupus research

New Research: A Root Cause of Lupus? [Reported July 2024]

New research claimed they discovered a root cause of lupus. Researchers at Northwestern Medicine and Brigham and Women’s
Don Thomas, MD answers question about lupus and immune boosting supplements like Echinacea

Vitamins For Lupus: Avoid some is the best advice

Not All Supplements and Vitamins for Lupus Patients are Safe Vitamins for lupus patients: “Ask Dr. T!” question
Image of the central nervous system for CNS lupus

CNS Lupus: When Lupus Affects the Brain & Spine

Lupus is an autoimmune disease that can attack the brain, spinal cord, and many other organs. When this
Dry cracked skin

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

Unfortunately, dry, itchy skin is a common problem in lupus patients. Most patients try everything they think may
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
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
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
Illustration of a clipboard, doctor and thyroid

Lupus and Thyroid Medications

Lupus and thyroid disease go hand in hand. The thyroid gland, which is situated at the front of
wrist brace for joint protection for the wrist with lupus arthritis

Joint Protection Advice for Lupus Arthritis

Joint Protection Advice for Lupus Arthritis Joint protection is essential in dealing with pain. When you rest a
A mask, needle, and syringe as symbols to protect from COVID-19

What is Evusheld and Who Should Get Evusheld: Prevent COVID-19 [OCT 2022 Update]

What is Evusheld? It is a treatment to prevent COVID-19 infections. It is not a vaccine. It is
X-ray of lupus joint and muscle pain

Lupus Joint and Muscle Pain [February 2025 Update]

Close to 90% of people with systemic lupus erythematosus (SLE) will have joint and muscle pain. Fortunately, today’s
Use of DHEA in lupus patients

DHEA and Lupus: Research shows it to be useful and good in some

Other Facts about DHEA and lupus – DHEA and lupus: DHEA stands for DeHydroEpiAndrosterone – It is produced
Extra COVID vaccines are important for us to prevent infection

Dr. Donald Thomas gets his extra COVID vaccines: It was easy!

UPDATED September 2021: I cannot wait to get my extra COVID vaccines … specifically my 3rd booster shot!
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
The endocrine system and lupus

Lupus and The Endocrine System

Lupus, a complex autoimmune condition, impacts various systems in the body, including the endocrine system. The endocrine system
sick girl for blog about children with kidney inflammation blog post

Benlysta for pediatric lupus nephritis: FDA-approved

  Benlysta for children with lupus kidney inflammation (lupus nephritis): FDA-approved on July 26, 2022 This is a
Photo of person holding a soap bubble

The Best Soap for Lupus Patients (Feb 2025 Update)

Selecting the right soap for lupus patients is crucial because certain soaps can worsen irritation from cutaneous lupus
VA disability for lupus

VA Disability for Lupus: Navigating Your Claim [Feb 2025 Update]

Startling statistic: A large study showed that Afghanistan and Iraqi veterans suffering from PTSD were twice as likely
Arm wrestling to see which is better for lupus nephritis: Lupkynis or Benlysta

Lupkynis vs Benlysta for Lupus Nephritis: Dr. Thomas Has His Verdict!

Which is better for lupus nephritis? ​Here is my answer! Which is better for lupus nephritis? Benlysta or
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,
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
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
Text stating Mitochondria is the Powerhouse of the Cell a cause of fatigue in lupus

Fatigue in Lupus and Sjogren’s [March 2025 Update]

Fatigue is one of the most common and disabling symptoms affecting individuals living with systemic lupus erythematosus (SLE).
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,
Medication blister packet

Heparin versus Warfarin for Lupus

Systemic lupus erythematosus (SLE) can lead to blood clots through various mechanisms. In addition, lupus patients are at
Managing Bone Health With Drugs

Managing Bone Health With Bisphosphonate Drugs

Individuals with systemic lupus erythematosus (SLE) are at increased risk of broken bones (fractures) due to osteoporosis. Increasing
Coronavirus vaccine for COVID-19 and lupus patients

COVID Vaccine for Immunocompromised Patients and What Drugs to Stop [December 2023 UPDATE]

The American College of Rheumatology Provides Guidance for stopping drugs to enhance the COVID vaccine for immunocompromised patients
Drawing of an electron microscopic view of the hepatitis C virus

Lupus and Hepatitis C: Lupus Patients Should be Tested for Hepatitis C

The interactions of hepatitis C and systemic lupus is strange, and hepatitis C can mimic lupus … read
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
Benlysta During Pregnancy - photo of pregnant woman

Benlysta During Pregnancy: Safe and Effective [UPDATE July 2024]

July 2024 Update on Benlysta in Pregnancy A review in the British Medical Journal discussed the recent studies
Two arm wrestlers representing Saphnelo vs Benlysta

Saphnelo vs Benlysta? What is the Best Medicine for Lupus? [February 2025]

Saphnelo and Benlysta are two FDA-approved biologics for treating systemic lupus erythematosus (SLE). They work in two very
Lupus Mottled Skin

Lupus Mottled Skin & Symptoms (Feb 2025 Update)

One skin issue associated with systemic lupus erythematosus (SLE) is “mottled skin,” with livedo reticularis being one of
Woman taking pills out of a pill box organizer

Hydroxychloroquine Decreases the Risk of Death

Research article shows that taking hydroxychloroquine decreases the risk of death by 83%: Impact of Antimalarial Adherence on
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