Autoimmune Disorders

Lupus

Water, Water, Water!

This post has been generously donated to WhatTheJules by LA Lupus Lady from her site. I hope you visit her here.

Water, water, water!  This one thing is essential to the three keys that keep me (somewhat) balanced while I strive to thrive while I manage my life with Lupus.  First things first, I need water to quench my thirst.  Secondly, we all need water to cleanse our bodies, but I need water to cleanse my soul.  Last but not least, I use water to help me keep fit.

It has taken me years to understand that if I wait until I get thirsty to drink a glass of water, I have waited too long.  Simply avoiding even the slightest bit of dehydration helps me maintain my level of wellness.  It is never the wrong time to enjoy a glass of water.  I try to make drinking water a special experience and drink my eight glasses a day from a crystal goblet that one might ususally reserve for a special occasion.  Cheers to my health!   

Washing the body and keeping it clean are a part of daily life but I make taking a bubble bath a ritualistic tradition.  There is a process I go through, methodically drawing the bath and adding the epsom salts and essential oils (lavendar, eucalyptus, peppermint or orange - depending on my body's needs) which I do every time I create a good bubble bath.  I feel like an experimental scientist creating the perfect remedy.  To me, the healing properties of a good bubble bath can not be underestimated.

I got “in the pool” because as a woman who is living with Lupus one of the ways Lupus manifests in me is through a condition where my body-- in order to regulate its body temperature--produces excessive perspiration; this condition being hyperhydrosis.   I physically could do an aerobics class but the effects of hyperhydrosis would make it uncomfortable for me--forget about unbearable for those around me!! Sweat would be dripping into my eyes and dropping on to the floor around me in puddles!   In the pool I could work out and not leave a trail of perspiration in my wake.  I started swimming in the pool and doing laps.  One day, while doing laps, I heard the laughter and giggles of the water aerobics class.  On the way to the locker room,  I mentioned that the class looked like fun.   The ladies said it may have looked like fun but that they got a good workout-- try it and see.    I did, and that is when I learned about the power of water.

The power of working out in water is amazing.  Compared to land-based aerobics, water-based aerobics are safer and there is less risk of injury because the water provides balance and body support, as well as the effect of “hydrostatic pressure” (pressure is decreased on the body’s vascular and respiratory system).   This makes it easier for those with swelling or pressure in the lower extremities to exercise freely and those with no limitations to exercise with more immediate benefits and results.  It turns out the more water you move, the harder you work.  In chest-deep water, jogging with your knees high is not as easy as it sounds.  Add in arm movements and a leg extension and aerobic activity is not the first thing on your mind, keeping it all together is.    

Water is magical and I use it whenever I can.  Living with Lupus, I have learned to let it go with the flow and let the power of water assist in my healing.  Simple, classic and elegant, join me as I lift my goblet and drink a glass.  Here's to our health.

~~~~~~~
Amanda Greene
@lalupuslady on Twitter
About Amanda 

Thank you Amanda, my lupie sister, for sharing this post with us. I have the rare gift of sharing a home state with Amanda. This means that she has been able to join Team Chronically Awesome for the LA Walk for Lupus Now. Of late, it is not uncommon to find the a multi-hour Jules and Amanda phone talk-a-thon (almost daily). We have discovered yet another reason to have local friends who "get it"... time zones sometimes matter.
 

Exercising My Expectations

Nothing wrankles my expectations like the holidays. I really do it to myself too. Our house is a very multi-cultural place. We are Buddhist Jews with a Christmas tree. Don't even try to wrap your head around that one or it will most certainly explode. In fact, that is probably part of my point. Each year, what should be a time of great joy, a time of family togetherness, instead turns into at least a dozen small disasters, or one mega disaster of Old Testament proportions.

Why do we do that to ourselves? Why do we expect perfection out of situations that we, largely, have no control over? I am sure that it has a lot to do with all that storybook stuff, and the songs and the movies, that make us believe that Christmas (not too many Hanukkah movies out there) will be perfect. It's hard to find perfection in anything, much less anything that so many people can stick their grubby hands in.

I remember, back in the day, (marriage 1.0) my expectations were much higher. I was very young, and a new mother. I had not been out of my mother's house very long so my memories of childhood holidays were fresh. I wanted things to be so perfect for my child, for my new(ish) husband and for the kid that still lived in me. I was doing very well until others came in to our home for visits. Other family members that had less care and respect for what I wanted out of a holiday came into our home with desires to eat my food, drink my alcohol, and do holidays the way that they wanted to. 

Now really, before I get downright upright about that, isn't that what we all do? We celebrate the way that WE want to? The questions really are, where do and how do we celebrate the holidays the way that WE want to?

Some words about Canada and Benlysta from Rhian

On Sunday, April 17th, I introduced you to my friend Rhian (@rhian73) by posting a link to her blog here. It was an article about Canadian health care. On the day that most of us with Lupus celebrated the release of Benlysta, Rhian was very happy for her US friends but could not take advantage of this new medication up in Canada.
Today was an exciting day for Lupus patients in Canada. I will let Rhian's blog post speak for the news. Here is Rhian again, and her blog Smoke and Mirrors.

Today Is A Good Day
"Lupus is a life-altering and life-threatening diagnosis" says Catherine Madden, Executive Director of Lupus Canada.  "This incurable disease impacts and destroys many organs in the body and can cause constant pain, immobility, and organ failure just to name a few.  Lupus is seriously under-recognized and under-funded but dedication to new therapies and new research fuels hope for a cure."
Imagine my thrill when I woke up to the news that Benlysta was approved by Health Canada today. I was expecting to wait years for Canada to catch up to the United States and England. Not to be a downer, I never thought I would see it be approved or that I might have a chance at even thinking about this.
I have an appointment next week to see what I need to do to see if I will be eligible for this treatment - the first direct Lupus medication in over 50 years. The cost is astronomical, I have never made in a year what this price tag says. That will be dealt with later, once I see if I can be on this.
I will be starting an immunosupressant this week, as much as I don't like pills, there is a bit of excitement inside me to try rather than refusing chemo over and over.
The other bit of good news is since making payments for the mobility aids is very difficult, I have started the process on being approved for a real wheelchair that could be funded - this will help so very much. I will also be (against my pride) getting a walker, so when I do my 3 miles maybe the walker will help and not be as awkward as the chair.
I still have those damn stitches in my face.
At least the walker is red.

~~~~
Thank you, Rhian for letting me share you blog item here today and for being such a great friend. Good luck with your immunosuppressants and with the upcoming approvals and decisions that have to be made. I wish the very best for you my love. 

About Lupus

Definition
Systemic Lupus Erythematosus (Lupus SLE) is an autoimmune disease characterized by widespread pain,skin rashes and a failure of body systems as the immune system attacks skin, joints, heart, lungs, blood,kidney and brain. SLE is most often the lupus one is referring to when the term “lupus” is mentioned,but not always. Below you will find descriptions of other forms of lupus.
SLE can cause serious complications to organ systems such as:
•••
Inflammation of kidneys (lupus nephritis)Increase in blood pressure in lungs (pulmonary hypertension)Inflammation of nervous system and brain causing memory problems, confusion,headaches, and strokes.Inflammation in the brain’s blood vessels, causing fevers, seizures, behavior changes.Hardening of the arteries.
••
About Lupus: Lupus is not contagious and researchers have yet to determine exactly what causes ortriggers the immune system to begin attacking the body. There appears to be a strong family historycomponent involved in whether one is predisposed to Lupus.
Other Lupus triggers can be certain illnesses. Researchers have found that there is an increased risk oflupus in those who have become infected with the Epstein-Barr virus. There has even been some linkwith parvovirus and hepatitis C (but not a direct causal link) (source about.com)

Symptoms of Lupus

No two lupus patients experience symptoms in the same way. The symptoms may come on in a sudden flare or develop over a long period of time. One of the most frustrating things for a person with lupus is that we all have such varying degrees of the illness that comparing us will inevitably make one person seem "less" or "more" sick than another. No one is "less or more sick, just "different".
I have heard lupus called “the great pretender”, and I think that is very appropriate. When you see the symptoms you can apply them to so many other illnesses. People with lupus don’t have to have ALL of these symptoms to have the disease. These, coupled with tests/bloodwork will be used to diagnose lupus. ~ (Jules)
••••••••••

  • Fatigue
    Fever
  • Weight loss or gain
  • Joint pain, stiffness and swelling
  • Butterfly-shaped rash (malar rash) on the face that covers the cheeks and bridge of the nose
  • Skin lesions that appear or worsen with sun exposure
  • Discoid rash
  • Mouth sores (oral ulcers)
  • Hair loss (alopecia)
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods (Raynaud's phenomenon)
  • Shortness of breath
  • Chest pain
  • Dry eyes
  • Easy bruising
  • Anxiety
  • Depression
  • Memory loss
  • Kidney disorder
  • Neurological Disorders (seizures or psychosis)
  • Blood disorders (anemia, leucopenia, lymphopenia, thrombocytopenia)
  • Immunologic disorder
  • Abnormal antinuclear antibody (ANA)

••••••••••••

Diagnosing Lupus

Lupus can be a very difficult illness to diagnose. Many people go for years struggling to get a diagnosis. The symptoms often hide behind the symptoms of many other illnesses. Often a person is tested and retested and only after a great deal of time, as symptoms change over the course of the disease to doctors feel "comfortable" finally diagnosing lupus.

To begin with, doctors will look at the symtpoms of lupus. Does the patient present with any of the following?

  • Fatigue
    Fever
  • Weight loss or gain
  • Joint pain, stiffness and swelling
  • Butterfly-shaped rash (malar rash) on the face that covers the cheeks and bridge of the nose
  • Skin lesions that appear or worsen with sun exposure
  • Discoid rash
  • Mouth sores (oral ulcers)
  • Hair loss (alopecia)
  • Fingers and toes that turn white or blue when exposed to cold or during stressful periods (Raynaud's phenomenon)
  • Shortness of breath
  • Chest pain
  • Dry eyes
  • Easy bruising
  • Anxiety
  • Depression
  • Memory loss

One does not need to have ALL of these symptoms. Read Lupus.Org's Symptoms of Lupus 

Tests for Lupus can be a challenge. Not all tests yeild results that give doctors precise answers they are looking for. Abnormal results on varying tests can be more or less severe not only based on the patient but based on the current status of the disease in each patient.

Lupus.Org has a description of the varying laboratory tests performed for Lupus and what information their results can add to the full diagnostic picture of your quest to discovering whether or not you have Lupus.


 

Blogs

Most of the blogs I read are on Tumblr. It's an easy format for me because I can subscribe to as many as I want and they are served up post after post on my dashboard. The risk of beginning a list of blogs to recommend is that I will most certainly miss a number of good ones. If you know of a good blog that I should check out please send it to me using the contact form


LA Lupus Lady
Lupus Awareness

Rhian: Smoke and Mirrors

Tammy’s True Tales
Me versus Lupus
Miss Ginger Lee
Sherlock Cat
My Life With Lupus
Lovely Gnome
Becca Is Stellar
It Was Lupus
Nikki
Supermodel Revealed 
My Autoimmune Life 
The Riley Effect

Lupus Interrupted

Cutaneous Lupus Erythematosus

Cutaneous refers to the skin, and this form of lupus is limited to the skin. Although there are many types of rashes and lesions (sores) caused by cutaneous lupus, the most common rash is raised, scaly and red, but not itchy. It is commonly known as a discoid rash, because the areas of rash are shaped like disks, or circles. Another common example of cutaneous lupus is a rash over the cheeks and across the bridge of the nose, known as the butterfly rash. Other rashes or sores may appear on the face, neck, or scalp (areas of the skin that are exposed to sunlight or fluorescent light), or in the mouth, nose, or vagina. Hair loss and changes in the pigment, or color, of the skin are also symptoms of cutaneous lupus.

Approximately 10 percent of people who have cutaneous lupus will develop systemic lupus. However, it is likely that these people already had systemic lupus, with the skin rash as their main symptom. (Source lupus.org)

Drug-Induced Lupus

Drug-induced lupus is a lupus-like disease caused by certain prescription drugs. The symptoms of drug-induced lupus are similar to those of systemic lupus, but only rarely will any major organs be affected.

The drugs most commonly connected with drug-induced lupus are hydralazine (used to treat high blood pressure or hypertension), procainamide (used to treat irregular heart rhythms), and isoniazid (used to treat tuberculosis). Drug-induced lupus is more common in men because they are given these drugs more often; however, not everyone who takes these drugs will develop drug-induced lupus. The lupus-like symptoms usually disappear within six months after these medications are stopped. (source lupus.org)

Neonatal Lupus

Neonatal lupus is a rare condition that affects infants of women who have lupus and is caused by antibodies from the mother acting upon the infant in the womb. At birth, the infant may have a skin rash, liver problems, or low blood cell counts, but these symptoms disappear completely after several months with no lasting effects. Some infants with neonatal lupus can also have a serious heart defect. With proper testing, physicians can now identify most at-risk mothers, and the infant can be treated at or before birth. Most infants of mothers with lupus are entirely healthy. (Source lupus.org)

Lupus Awareness Letter for Boise

By Victoria Gonda aka @victoriagonda

Last September, a fantastic person came into my life. Her name is Julianna Shapiro and she isone of the most inspiring people I have ever had the pleasure of knowing. I lived with her andher family from September 2010, to December 2010. During that time, I became very acquaintedwith her illness. Julianna has both fibromyalgia and lupus, as well as bipolar disorder and othercomplications. While some days are really tough, Julianna finds something to make it worth her efforts to prove she is alive. She is a part of the “Spoonie” community, which is people who areafflicted every day by a crippling autoimmune disease. The Spoon Theory is simple: At thebeginning of each day, you are allotted a certain amount of spoons, and those spoons arerepresentative of physical exertion. Everything you do costs a spoon, and some activities costmore than others. By the end of the day you are left with either extra spoons, no spoons, or a spoon deficit. Unfortunately, I witnessed more days of spoon deficits than I would care to remember. At first I did not understand why Julianna was so sick. And because she did not want to make a big deal about being sick, she did her best not to show it, but there are some things shesimply could not hide.

Anyway, Julianna is very near and dear to me, and when I moved to Boise at the end of December I decided to find a Lupus charity here that I could dedicate my efforts to her.

But the biggest obstacle to overcome in beginning a Lupus charity, is raising awareness about it.Many people do not understand what Lupus is. They have perhaps heard it thrown around on thedoctor television series, like House, but they do not understand what it is, and how it affects thepeople who have it.

So, what is Lupus? Lupus is technically known as systemic lupus erythematosus, also commonlyknown as SLE. Lupus is an autoimmune disorder, which means that something has gone haywireinternally and the body is attacking itself. Because the immune system is attacking, it often leadsto inflammation and damage to various parts of the body. While the one of the most commonorgans affected are the kidneys, lupus can affect all different kinds of the body (Brain, bloodvessels, heart, lungs, skin, joints, etc). Each case of lupus is different, because each individualbody makeup is different. However, some of the most common symptoms include, but are notlimited to painful or swollen joins, muscle pain, red rashes (usually on the face), unusual loss ofhair, unexplained fever, chest pain when breathing deeply, mouth ulcers, extreme fatigue,swollen glands, Raynaud’s phenomenon (poor circulation of blood to extremities from cold orstress), sensitivity to the sun, and swelling of the legs or around the eyes.

Unfortunately while it can be effectively treated, there is no real cure for lupus. Many peoplewho live with lupus can lead relatively normal lives, with periodical bouts of illness, or flares, aswell as periods of remission, or wellness. Researchers are currently trying to address two veryimportant questions when it comes to lupus: Who gets lupus? And why?

Information:Lupus Foundation of AmericaU.S. Department of Health and Human ServicesNational Institutes of HealthNational Institute of Arthritis and Musculoskeletal and Skin Diseases Many more women are afflicted by lupus than men, and African American women diagnosedwith lupus are three times more common than caucasian women. It has also been observed thatlupus can be more prevalent in Hispanic women.There are many different kinds of lupus:

?Systemic lupus erythematosus is the most broad variation of lupus and is usually what peopleare referring to when they speak of lupus. It can affect many different parts of the body andranges from mild to severe. SLE usually onsets between ages 15 and 45 years old. It is possibleto have early or late onset as well.

?Discoid lupus erythematosus is a chronic skin disorder. A raised, red rash appears (on the face,scalp, or elsewhere) and becomes thick and scaly. This rash may cause scarring and can lasanywhere from days to years, and it is possible for it to recur.

?Subacute cutaneous lupus erythematosus is when skin lesions appear on the body whereexposed to sun.

?Drug-induced lupus is when symptoms similar to SLE arise due to a medication. Usually the symptoms go away when the drug is stopped and the brain and kidneys are rarely involved.

Usually, an Antinuclear Antibody (ANA) test is administered as part of diagnosing lupus, but there are some forms of lupus that will not produce a positive ANA test result. Unfortunately,Julianna is afflicted with ANA negative lupus, and it was much more difficult to diagnose. As it is, lupus is already a difficult disorder to diagnose. It can take months or sometimes years to diagnose, because it can take a while for doctors to piece together all of the different symptoms.Plus, not all symptoms will be present initially.While research for lupus has moved forward in leaps and bounds, there are still so many questions about lupus that do not have answers. After watching Julianna suffer on a daily basis with this terrible disorder, I realize how much more research there is to be done. I grew up with my mother being afflicted with rheumatoid arthritis, and I thought that was bad, but nothing willever compare with the debilitation I saw with lupus.My hope is to bring awareness to more people about what lupus is and what it does. I want people to know that it is as treacherous as cancer and it is just as painful for loved ones as anyother terminal illness. Watching your loved one wither away and decline is something that nobody should have to witness.I would be very appreciative and honored if you would help me in my efforts to bring awareness and raise money for lupus research.

Thank you for your time,
Victoria Isabele Gonda

Information:
Lupus Foundation of America
U.S. Department of Health and Human Services
National Institutes of Health National Institute of Arthritis and Musculoskeletal and Skin Diseases 

~~
Thank you Victoria for writing this letter, and I hope you get support for the cause in Boise. I can't tell you how many times Victoria sat with me while I just layed on the couch unable to do much of anything. One of the first days she was here I had just had a procedure for my kidneys and I was off to the ER to pass fragments of stone. What a way to come into a new home. When I told her I was pretty sure I was going to die of this thing she just listened calmly to me.
Lately my stupid ANA goes up and down, who knows what it will read next. HATE IT. I love that Vic wants to carry the message with her. I hope this letter helps. Thanks sweetie. 

Grappling with lupus

Grappling with lupus

Student fights illness in class and online

by Kendra Poole
Hatchet Staff Writer

 

Chelsea Swift never imagined when transferring to GW in 2009 that she would be adjusting to more than just a new college.

Only weeks into her first term, Swift was diagnosed with lupus, a chronic autoimmune disorder affecting the skin, joints and kidneys.

"First I was just in denial that this was a chronic illness," Swift said. But after weeks of side effects, she could see herself changing because of the disease and the medication. "You become mean, you get fat, your face gets huge, you lose all your hair and you grow hair everywhere else on your body."

Read More...

(Source George Washington University Student Newspaper)

 

Lupus Triggers

One or more of the below can set off the illness in people who may have susceptibility to lupus.? Lupus is often triggered in people where there is existing family history of lupus and/or other immune system illnesses, such as arthritis, rheumatism, MS and others.

Lupus can be triggered:

  • at puberty
  • after childbirth
  • during the menopause
  • after viral infection
  • through sunlight
  • as a result of trauma
  • after a prolonged course of some medication

(Source West Midlands Lupus Group)

May is Lupus Awareness Month



There is so much you can do to spread the word!

LFA's Lupus Awareness Month Page
Sign the awareness pledge

Here is the Band Together Toolkit from the LFA. (Consider changing your avatar with one from the toolkit for May)
This PDF is for World Lupus Day on May 10th. 
Walk for Lupus 
Find your local chapter of the LFA and see what is going on in your area.


What are you doing for Lupus Awarenes Month?

Plaquenil

Hydroxychloroquine belongs to the family of medicines called antiprotozoals. Protozoa are tiny, one-celled animals. Some are parasites that can cause many different kinds of infections in the body.

This medicine is used to prevent and to treat malaria and to treat some conditions such as liver disease caused by protozoa. It is also used in the treatment of arthritis to help relieve inflammation, swelling, stiffness, and joint pain and to help control the symptoms of lupus erythematosus (lupus; SLE).

For patients taking hydroxychloroquine for arthritis or lupus:

This medicine must be taken regularly as ordered by your doctor in order for it to help you. It may take up to several weeks before you begin to feel better. It may take up to 6 months before you feel the full benefit of this medicine.

Precautions While Using Plaquenil

Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after long-term treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).

If your symptoms do not improve within a few days (or a few weeks or months for arthritis), or if they become worse, check with your doctor.

Hydroxychloroquine may cause blurred vision, difficulty in reading, or other change in vision. It may also cause some people to become dizzy or lightheaded. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert or able to see well. If these reactions are especially bothersome, check with your doctor.


The presence of other medical problems may affect the use of this medicine.
 
Make sure you tell your doctor if you have any other medical problems, especially:

  • Blood disease (severe)—Hydroxychloroquine may cause blood disorders
  • Eye or vision problems—Hydroxychloroquine may cause serious eye side effects, especially in high doses
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency—Hydroxychloroquine may cause serious blood side effects in patients with this deficiency
  • Kidney disease—There may be an increased chance of side effects in patients with kidney disease
  • Liver disease—May decrease the removal of hydroxychloroquine from the blood, increasing the chance of side effects
  • Nerve or brain disease (severe), including convulsions (seizures)—Hydroxychloroquine may cause muscle weakness and, in high doses, seizures
  • Porphyria—Hydroxychloroquine may worsen the symptoms of porphyria
  • Psoriasis—Hydroxychloroquine may bring on severe attacks of psoriasis
  • Stomach or intestinal disease (severe)—Hydroxychloroquine may cause stomach irritation

 

Potential side effects of anti-malarial drugs include:

  • Skin rashes and pigment change. Atabrine, specifically, can cause yellow pigmentation of skin. Sometimes Plaquenil can also deposit in the tissues of the body and cause the skin to take on a greenish tone.
  • Dry skin
  • Loss of appetite
  • Abdominal bloating
  • Upset stomach
  • Stomach cramps
  • Retinal damage – There is a small chance that retinal damage will occur while taking hydroxychloroquine (Plaquenil) or chloroquine (Aralen). For this reason, you should see your ophthalmologist at least once per year so that she/he may check for retinal deposits. Retinal damage caused by hydroxychloroquine is generally reversible, but damage caused by chloroquine may not be. More information on this effect can be found above.

Less common side effects:

  • Headaches
  • Muscle aches
  • Weakness
  • Nervousness, irritability, dizziness (although these effects are uncommon)
  • Major neurological side effects: confusion, seizures – These are quite rare, but if you experience them, alert your doctor immediately.
  • Exacerbation of psoriasis – If you have psoriasis, Plaquenil may make your condition worse.     Talk to your doctor if you have this condition.