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Medicine, more than almost any other discipline, requires continuing education through the entire career. It changes rapidly, and whatever a doctor was taught 20 years ago in med school, or even 10 years ago at a conference, may not be true today. So if they're not keeping up, they're going to be ignorant on some issues. I've seen that myself more than once ...


3

Your doctor may use the term "possible lupus" if you meet part, but not all of the diagnostic criteria for lupus [1]. I'm assuming in the remainder of this post that you do not meet criteria for "probable" lupus (>= 4 criteria including 1 clinical and 1 immunologic criteria). A positive ANA is considered 1 immunologic criteria for the diagnosis of lupus. ...


1

The paper you reference postulates that this occurs in patients who have malaria Another hypothesis is that the fever associated with malaria may directly decrease brain amines (norepinephrine, dopamine, and serotonin) because of the malaria-induced spike in temperature. Spikes in temperature can disrupt brain amine function (including synthesis and ...


1

In treatment of rheumatoid arthritis, the following immunosuppressants, which are already in use, inhibit cytokines: Non-biologic DMARDs (Disease-modifying antirheumatic drugs): methotrexate, leflunomide, hydroxychloroquine, sulfasalazine, cyclosporine, and tacrolimus Biologic DMARDs: adalimubab, anakinra, certolizumab, etanercept, golimubab, infliximab, ...


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