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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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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
COVID-19 vaccine for lupus patients answer by Dr. Don Thomas

Lupus and COVID vaccine: Tested in the clinical trials = safe and effective!

Lupus and COVID vaccine: Dr. Thomas recommends not waiting to his patients, read below… Research regarding the COVID
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
Pain from Fibromyalgia

Lupus and Fibromyalgia

Lupus and Fibromyalgia: Understanding the Connection Lupus and fibromyalgia are two distinct conditions, but they often coexist, causing
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
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
Man with yellow eyes due to jaundice from hepatitis

Lupus and Hepatitis B Vaccine: Endorsed in the CDC guidelines

Lupus and Hepatitis B Addendum: The recommendations for hepatitis B vaccines changed in 2022. The CDC recommended that
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
Medication blister packet

Heparin versus Warfarin for Lupus

Lupus can cause blood clots in many different ways. In addition, lupus patients are at higher risk of
Anti-chromatin antibodies attach to chromatin in lupus patients

Chromatin antibody: Make sure you know your labs

Know your labs when you have lupus Chromatin is our DNA packaged up nice and neat with other
blocks of letters that spell stress and wellness

Lupus and Stress Management: How to lessen stress [January 2025 Update]

Lupus and Stress Management: The Science of Stress and the Immune System January 2025 Update: Mounting evidence that
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
Proteinuria in lupus nephritis. This is what a kidney looks like

Proteinuria in Lupus Nephritis: Video tips and the bottom line [FEB 2023 UPDATE]

When excessive protein leaks from the kidneys and into the urine, it is called proteinuria. Proteinuria in lupus
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
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 relationship between lupus,
Lupus and gastro issues

Lupus and Gastro Issues

Lupus and its treatments can affect the gastrointestinal (GI) tract, from the mouth to the intestines. Understanding the
Photo of person holding a soap bubble

The Best Soap for Lupus Patients (February 2025 Update)

Selecting the right soap for lupus patients is crucial because certain soaps can worsen irritation from cutaneous lupus
Discoid lupus on the chest of a white woman Saphelo for lupus

Saphnelo for Lupus: One of Two Approved Biologics [January 2025)]

Saphnelo for Lupus: It improved lupus in all domains tested. Anifrolumab (Saphnelo) has the lupus community excited a
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
CBD for lupus medical marijuana leaf symbol

CBD for Lupus: Look here for the best advice [2023 Update]

Medical Marijuana (Cannabis, Cannabinoids, THC, CBD for Lupus)? Should patients use CBD or other cannabis products for lupus?
A lupus Coombs test being done in a lab

Understanding the Lupus Coombs Test: Know your labs! (October 2024 Update)

The Direct Coombs test is also known as the direct Coombs antibody test and the direct antiglobulin test
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!
Anti-SSA (anti-Ro) in a lupus patient

Anti-SSA Test (anti-Ro): Know Your Labs

What is the anti-SSA test? What the lab technician sees under the microscope when testing a patient for
Lupus Mottled Skin

Lupus Mottled Skin and the Symptoms (February 2025 Update)

One skin issue associated with systemic lupus erythematosus (SLE) is “mottled skin,” with livedo reticularis being one of
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
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
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,
Two arm wrestlers representing Saphnelo vs Benlysta

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

Update March 2024 Saphnelo is the only FDA-approved drug for SLE to have a randomized, placebo-controlled long-term extension
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
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
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
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
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
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
Asian woman doctor reading a chest x-ray showing pneumonia

New Pneumonia, Shingles, RSV, and Hepatitis Vaccine Recommendations [2024]

Centers for Disease Control 2024 Vaccine Recommendations In 2024 came out with its new vaccine recommendations. In this
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
Malaria organism infecting a red blood cell

How does Hydroxychloroquine work for Lupus (SLE)? [JUN 2024 Update]

December 2022 update: Hydroxychloroquine is a disease-modifying agent for lupus (along with Benlysta). Antimalarial drugs can treat autoimmune
Malar butterfly rash symptom of lupus

Types of Rash in Lupus: A Comprehensive Guide

Lupus patients have many more types of rash than the commonly discussed butterfly rash and discoid lupus. After
X-ray of respiratory system

Lupus and the Respiratory System

The respiratory system, also known as the pulmonary system, plays a crucial role in exchanging gases essential for
Hydroxychloroquine and Plaquenil Top Tips

Top Tips on Taking Hydroxychloroquine for Lupus [Ultimate Guide February 2025]

Taking hydroxychloroquine for systemic lupus erythematosus (SLE) is considered the most important drug for lupus. It is the
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
Managing Bone Health With Drugs

Managing Bone Health With Bisphosphonate Drugs

Individuals with systemic lupus erythematosus (SLE) are at increased risk of broken bones due to osteoporosis. Managing bone
Lupus life expectancy

Understanding Lupus Life Expectancy

Living with lupus is a journey marked by uncertainty. One aspect that often weighs on individuals is the
blood vessels vascular with red blood cells floating inside an artery

Diabetes Drug Pioglitazone Helpful for Lupus [Suggests NIH study]

Lupus Research Article Peroxisome proliferator-activated receptor-γ agonist pioglitazone improves vascular and metabolic dysfunction in systemic lupus erythematosus This
Lupus and hives on arm

Lupus and Hives

Systemic lupus erythematosus (SLE) can cause hives (also called urticaria). Hives are itchy, swollen bumps that appear on
Early signs of lupus in females

Early Signs of Lupus in Females

Lupus, a chronic autoimmune disease, predominantly impacts women. Around 90% of lupus patients are women, while 10% are
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
Woman using eye drops for dry eyes and lupus

Dry Eyes and Lupus: Eye Doctor Tips and Tricks

Dry eyes are very common in lupus patients, especially those with Sjogren’s disease. Around 25 to 30% of
Image that says CAR-T Cells made simple

CAR-T Cell Therapy For Lupus Made Simple (January 2025 UPDATE)

The field of CAR-T therapies in treating autoimmune diseases like lupus is rapidly expanding. As of April 2024,
A lupus patient with Jaccoud

Lupus Tendonitis: A Common Cause of Pain in Lupus Patients

https://www.lupusencyclopedia.com/book-photos/#tendon…