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                    <pubDate>Mon, 24 May 2021 17:02:59 +0200</pubDate>
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                        <title>Lupus Q&amp;A: Cook Children’s Nephrologist Answers Common Questions</title>
                        <link>https://www.checkupnewsroom.com/lupus-qa-cook-childrens-nephrologist-answers-common-questions/</link>
                        <guid>https://www.checkupnewsroom.com/lupus-qa-cook-childrens-nephrologist-answers-common-questions/</guid><pp:caseid>458833</pp:caseid><description><![CDATA[<p>Lupus is a chronic (long-term) disease that can cause inflammation and pain in any part of your body.&nbsp;Because lupus affects many parts of the body, it can cause a lot of different symptoms and no two cases are exactly alike. Pediatric nephrologist <a href="https://cookchildrens.org/doctors/team/celina-cepeda">Celina Cepeda, M.D.,</a>&nbsp;addresses commonly asked questions about lupus and treatment.&nbsp;</p><p><span><span><span><b><u>What is lupus?</u></b></span></span></span></p><p><span><span><span>Lupus is a chronic autoimmune disease where a person&rsquo;s immune system (the system that helps fight infections) attacks its own healthy cells by mistake. It can affect different organs of the body, including, but not limited to the skin, joints, heart, kidneys, and lungs. It usually occurs without warning and affects each person differently. Unfortunately, we don&rsquo;t know the exact cause of the disease, but we know the immune system is involved; genetics, hormones, and the environment also likely play a part.</span></span></span></p><p><span><span><span><b><u>What are the signs and symptoms of lupus?</u></b><img alt="" src="https://content.presspage.com/uploads/1065/800_signsandsymptomsoflupus.jpg?x=1621525985278" style="margin: 5px; float: right; width: 300px; height: 600px;" /></span></span></span></p><p><span><span><span>Its symptoms can mimic those of other diseases, which is why it&rsquo;s known as &ldquo;the great mimicker.&rdquo; The intensity of symptoms varies and can come and go over time, but the most common include:</span></span></span></p><ul><li><span><span><span>Fatigue</span></span></span></li><li><span><span><span>Fever</span></span></span></li><li><span><span><span>Headaches</span></span></span></li><li><span><span><span>Hair Loss</span></span></span></li><li><span><span><span>Joint pain, stiffness and swelling</span></span></span></li><li><span><span><span>Butterfly-shaped rash across cheeks and nose</span></span></span></li><li><span><span><span>Abnormal blood clotting</span></span></span></li><li><span><span><span>Anemia</span></span></span></li><li><span><span><span>Pain in chest or deep breathing</span></span></span></li><li><span><span><span>Sun or light-sensitivity</span></span></span></li><li><span><span><span>Fingers and toes that turn white or blue when exposed to cold or during stressful periods</span></span></span></li></ul><p><span><span><span><b><u>Who develops lupus?</u></b></span></span></span></p><p><span><span><span>Anyone from newborn babies to older individuals can develop lupus. It is most often diagnosed between the ages of 15 and 45 and is more common among African Americans, Hispanics, Asian Americans, Pacific Islanders and Native Americans.</span></span></span></p><p><span><span><span>Lupus is also more common in women.</span></span></span></p><p><span><span><span><b><u>How is lupus diagnosed?</u></b></span></span></span></p><p><span><span><span>There is no single test that can diagnose lupus.</span></span></span></p><p><span><span><span>Because lupus can present with vague symptoms and mimic other illnesses, it can sometimes take years to make a diagnosis. Medical history, symptoms, and various tests can help make the diagnosis.&nbsp;Instead, diagnosis is based on criteria that includes clinical findings and laboratory tests. Helpful tests look for autoantibodies (antibodies that attack a person's healthy cells) that are often found in the blood of lupus patients. As the kidneys are often affected by lupus, a kidney biopsy is also useful.</span></span></span></p><p><span><span><span><b><u>How does lupus affect the kidneys?</u></b> </span></span></span></p><p><span><span><span>When the immune system attacks the kidneys, it leads to inflammation of the kidneys. This stops the kidneys from working properly to remove waste and toxins from the body. Patients may not have any symptoms but may notice darker, bloody urine or swelling in different parts of the body. An abnormal urine or blood test may be the only sign of disease. Because the kidneys are so important to overall health, lupus patients with kidney involvement generally need strong drug treatment to help prevent permanent damage. If permanent damage does occur, dialysis and kidney transplant are needed.</span></span></span></p><p><span><span><span><b><u>How is lupus treated?</u></b></span></span></span></p><p><span><span><span>There is no cure for lupus, but there are various treatment options to manage it. Non-steroidal anti-inflammatory drugs, steroids, antimalarials, and immunosuppressants are commonly used. As lupus affects patients differently, treatment varies between patients. One patient may also have to change medications several times during their lifetime as the disease evolves and changes. For patients with kidney involvement, blood pressure medications and stronger immunosuppressants may be needed.</span></span></span></p><p><span><span><span><b>For more information on lupus, visit:</b></span></span></span></p><p><a href="https://kidshealth.org/CookChildrens/en/parents/lupus.html "><span><span><span>https://kidshealth.org/CookChildrens/en/parents/lupus.html&nbsp;</span></span></span></a></p><p><span><span><span><a href="http://www.lupus.org/">http://www.lupus.org/</a></span></span></span></p><p><span><span><span><a href="http://www.lupusawarenessmonth.org/">http://www.lupusawarenessmonth.org/</a></span></span></span></p><p><span><span><span><a href="https://www.lupusresearch.org/">https://www.lupusresearch.org/</a></span></span></span></p><div class="text_companyprofile" style="padding: 8px; margin-bottom: 30px; background-color: rgb(226, 243, 247);"><p><a href="https://cookchildrens.org/doctors/team/celina-cepeda"><strong>Get to know Celina Cepeda, M.D.</strong></a></p><p><img alt="" src="https://content.presspage.com/uploads/1065/500_celinacepedamdwithcoat.jpg?x=1621526442574" style="margin: 5px; float: left; width: 200px; height: 281px;" /></p><p>I am from Brownville, Texas, down in the Rio Grande Valley. When I was in high school, I thought about being a pharmacist to follow in my father's footsteps. However, it wasn't until college &ndash; after dissecting a cow eye - I decided to pursue a medical degree. My sophomore year of college, I applied for and was accepted to the Early Medical School Selection Program from Boston University while at University of the Incarnate Word. After graduating with a Bachelor of Science in biology, I attended Boston University School of Medicine. I enjoyed most of my medical school clinic rotations, but during my pediatric rotation in medical school, I felt like I connected well with children and they seemed comfortable around me, so this is when I decided being a pediatrician was for me.</p><p>Did I ever think I would be a pediatric nephrologist? Nope. In medical school, the kidneys were one of the more complicated organs to learn about so being a physician working with the kidney system was not on my radar ... until my pediatric nephrology rotation during residency. Being exposed not just to electrolyte issues, but also issues like urinary tract infections, kidney stones, and high blood pressure made me more interested in the field. What I love about this field is the relationships that are built with patients and their families. Unfortunately, kidney problems can be chronic in nature, so I do see patients on a long-term basis; this allows me to build long-lasting, trusting, compassionate connections. Also, being able to get patients with chronic kidney disease and end-stage kidney disease to kidney transplant is very satisfying and such a joyous moment for myself, my patients and their families.</p><p>Before joining Cook Children's, I was in a private practice and at Medical City Children's Hospital in Dallas for 3 years. I am so happy to join Cook Children's and look forward to taking care of you.</p><p>In my spare time I enjoy spending time with my fur baby &ndash; a Chihuahua mix. I also enjoy volunteering at the SPCA of Dallas, working out and lifting weights, traveling, going to comedy shows, and relaxing at home. In addition to English, I speak Spanish.</p><p>To make an appointment or consultation with Dr. Cepeda, <a href="https://cookchildrens.org/nephrology/choosing/Pages/default.aspx">click here&nbsp;</a>or call&nbsp;<a href="tel:682-303-4200">682-303-4200</a>.</p></div>]]></description><category><![CDATA[lupus,Main,Nephrology,nephrologist,Autoimmune Disease,Autoimmune,Celina Cepeda,Dr. Cepeda,Featured]]></category>
            <pubDate>Fri, 21 May 2021 09:43:26 -0500</pubDate>
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                        <title>8 facts about lupus</title>
                        <link>https://www.checkupnewsroom.com/8-facts-about-lupus/</link>
                        <guid>https://www.checkupnewsroom.com/8-facts-about-lupus/</guid><pp:caseid>91158</pp:caseid><pp:subtitle>Selena Gomez puts  auto-immune disease in spotlight</pp:subtitle><description><![CDATA[<p>It wasn't rehab for drug addiction or a mental breakdown after her break-up with Justin Bieber that caused Selena Gomez to step out of the spotlight in December 2013.</p>

<p>In an interview with <a href="http://www.billboard.com/articles/news/cover-story/6721941/selena-gomez-revival-album-taylor-swift-justin-bieber-lupus-empowerment">Billboard published October 8</a>, she reveals that her time her away&nbsp;was a consequence of scary health scare, following&nbsp;the diagnosis and subsequent treatment&nbsp;for lupus.</p>

<p><img alt="" src="http://content.presspage.com/uploads/1065/500_selenagomez.jpg" style="width: 500px; height: 375px; border-width: 2px; border-style: solid; float: right; margin: 5px;" />Fortunately, Gomez is doing well.&nbsp;Her lupus is in remission and she is set to appear in an upcoming movie and her newest album, Revival, will be released October 9.</p>

<p>Here are 8 facts about lupus that will help you understand the disease and explain it to your children if they ask:</p>

<ol>
<li>Lupus is a disease where your body&rsquo;s immune system (which usually helps you fight off infections) starts to attack your own cells (it falls into a group of diseases call auto-immune diseases).</li>
<li>Symptoms of lupus vary from person to person but can include: fever, swollen/painful joints, facial rash, tiredness, body swelling, sun sensitivity and mouth ulcers.</li>
<li>Lupus is diagnosed through a combination of symptoms and lab testing. It is often difficult to make because it can look like many other disease s and there is not one specific test to confirm or deny the diagnosis.</li>
<li>Lupus is not a contagious illness. The exact cause is not known but is thought to be a combination of hormones, genetics and environment.</li>
<li>Lupus most commonly affects women 15-44 years of age but can affect younger children and boys as well.</li>
<li>When severe, lupus can cause anemia. It can also cause excessive blood clotting which can lead to strokes and other complications.</li>
<li>Pediatric specialists known as rheumatologists treat lupus in children.</li>
<li>Treatment of lupus includes use of medicines to treat inflammation, steroids, anti-malarial medications and occasionally stronger medicines, which are used to decrease the activity of the immune system.</li>
</ol>

<p>For more information about lupus, you can read more from the Lupus Foundation of America at<a href="http://www.lupus.org/"> lupus.org</a>.<br />
&nbsp;</p>

<p>*Photo from SelenaGomez.com.</p>

<div class="text_companyprofile" style="padding:8px; background-color:#e2f3f7;margin-bottom:30px">
<p><strong><span>Get to know Justin Smith, M.D.</span></strong></p>

<p><img alt="" src="http://www.cookchildrens.org/SiteCollectionImages/PhysicianBios/jtnSmith.jpg" style="width: 110px; height: 110px; margin: 5px; float: left;" /><span><a href="http://www.cookchildrens.org/doctors/pages/bio.aspx?first=Justin&last=Smith">Justin Smith</a>, M.D.,&nbsp;is a pediatrician in <a href="https://www.cookchildrens.org/pediatrics/trophy-club/Pages/meet-our-pediatricians.aspx">Trophy Club</a>&nbsp;&nbsp;and the Medical Advisor for Digital Health for Cook Children's in Fort&nbsp;Worth, Texas. He has an active community on both Facebook and Twitter as @TheDocSmitty and writes weekly for Cook Children's</span>&nbsp;<a href="http://www.checkupnewsroom.com/">checkupnewsroom.com</a><span>. He believes that strategic use of social media and technology by pediatricians to connect with families can deepen their relationship and provide a new level of convenience for both of their busy lifestyles. Dr. Smith&rsquo;s innovative pediatric clinic, a pediatric clinic &ldquo;designed by you,&rdquo; open now</span><span>. <a href="https://www.cookchildrens.org/pediatrics/trophy-club/Pages/meet-our-pediatricians.aspx">Click to learn more</a>. To make an appointment, call 817-347-8100.</span></p>
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            <pubDate>Fri, 15 Sep 2017 10:09:35 -0500</pubDate>
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