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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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Lupus and The Eyes

Lupus, or systemic lupus erythematosus (SLE), is a chronic autoimmune disease that can affect multiple organs and systems,
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
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
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
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! Read more about
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
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
X-ray of respiratory system

Lupus and the Respiratory System [March 2025 Update]

The respiratory system, or the pulmonary system, is commonly affected by systemic lupus erythematosus (SLE). This system plays
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
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
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
Graphs showing Lupkynis voclosporin efficacy in lupus nephritis Lancet article

Voclosporin for Lupus Nephritis: Great results in The Lancet

Note the impressively higher response rates in the blue bars (Lupkynis + mycophenolate + steroids) compared to pink
Woman with Sjogren

Research Results in Dealing with Autoimmune Disease Fatigue Now

The causes of fatigue and dealing with autoimmune disease fatigue. ​ Tips on how to improve energy with
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
dry skin close up on the face of a woman

Lupus and Dry Skin

Lupus often manifests its effects on the skin. One potential problem is dry, itchy skin. Fortunately, a lot
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
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
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
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
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
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
Is lupus hereditary? Image of DNS double helix

Is Lupus Hereditary?

Is Lupus Hereditary? “Yes” Around 200 genes have been identified that increase the risk of getting lupus. This
New lupus test for lupus flares announced by The Lupus Foundation

The aiSLE DX Flare Risk Index Test: A new lupus lab test

The aiSLE DX Flare Risk Index test The Lupus Foundation of America, in its continuous quest to advocate
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
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
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
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
A lupus patient with Jaccoud

Lupus Tendonitis: A Common Cause of Pain in Lupus Patients

https://www.lupusencyclopedia.com/book-photos/#tendon…
Questions about lupus treatments and living with lupus

Living With Lupus Blog: The Lupus Encyclopedia – Q & A Video

Dr. Donald Thomas Answers Lupus Patients’ Questions on His Living With Lupus Blog: The Lupus Encyclopedia Watch this
Lupus, the Heart and Blood Vessels

Lupus, the Heart and Blood Vessels [March 2025 Update]

Lupus can significantly impact the heart and blood vessels, known as the cardiovascular system. This article goes into
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
treatment of lupus showing a lot of pills tablets and capsules

Treatment of Lupus: Best Practices & Guidelines [Mar ’25 Update]

The treatment of lupus has improved significantly over the past decade. Most patients can expect to go into
Dr. Don Thomas explains ANA negative lupus

Can You Have Lupus With a Negative ANA Test? “Yes you can!” (October 2024 Update)

Protect yourself from medical mistakes. A study by a large group of international lupus experts (Systemic Lupus International
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
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
salmon for anti-inflammatory diet with vegetables

Lupus Anti-Inflammatory Diet: Lifestyle changes advice [January 2025]

Eating a diet high in foods that decrease inflammation while avoiding or minimizing foods that increase inflammation can
Survey about being diagnosed with lupus and The Lupus Foundation of America

Participate in this lupus survey if you live in the USA [Survey is closed]

The Lupus Foundation of America wants to learn more about the difficulties in being diagnosed with lupus Click
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
Early signs of lupus in females

Early Signs of Lupus in Females

Lupus, an autoimmune disease, predominantly affects women. Around 90% of lupus patients are women, while 10% are men.
estrogen levels by age in women and lupus from puberty to menopause

Lupus in Women: From Puberty to Menopause

Lupus in women occurs much more often than in men. There are many reasons this occurs. Also, lupus
Discoid lupus erythematosus on the cheek of a white woman with systemic lupus

Can Discoid Lupus Turn into Systemic?- “Sure” Now more about the truth

The Latest Research Answers the Question: “Can discoid lupus turn into systemic lupus erythematosus?” Discoid lupus: note the
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
Discoid lupus on the chest of a white woman Saphelo for lupus

Saphnelo for Lupus: One of Two Approved Biologics [February 2025 Update]

Anifrolumab (Saphnelo) effectively treats individuals with systemic lupus erythematosus. It reduces the overactivity of an immune system molecule
Lupus patient with COVID coronavirus

Getting the COVID-19 Vaccine: Now see me excited to get it

What was it like getting the COVID-19 vaccine? … and some advice for lupus patients   A rheumatology
Anti-chromatin antibodies attach to chromatin in lupus patients

Chromatin antibody: Make sure you know your labs

Some systemic lupus erythematosus (SLE) are positive for anti-chromatin antibodies. This is an interesting antibody that has some
Effects of lupus on the body

Effects of lupus on the body [Feb 2025 Update]

The effects of systemic lupus erythematosus (SLE) on the body are diverse, impacting individuals in unexpected and varying
Pregnant black woman's stomach with a fetus ultrasound at image for having a successful pregnancy with lupus

How to Have a Successful Pregnancy with Lupus [January 2025 Update)

A successful pregnancy is possible in most women who have systemic lupus erythematosus (SLE) with proper preparation and
Malar butterfly rash symptom of lupus

How to Diagnose Lupus: 10 Symptoms (Feb 25 Update)

Diagnosing lupus is challenging, even for medical professionals. Early diagnosis is crucial for early treatment to reduce inflammation,
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
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 » Nephritis, kidneys,