Donald Thomas, MD
@lupusencyclopedia.bsky.social
Rheumatologist empowering patients with knowledge #lupus #Sjogrens #MCTD #UCTD Tweets are my own. 🏳️🌈💜
@ACRheum @ACR26 Convergence Orlando Social Ambassador
REGISTER: rheumatology.org/annual-meeti...
I look forward to moderating many of the business of rheumatology sessions (NOV 8-9) and attend the Practice Innovation Summit (NOV 6-7) hope my fellow private practitioners will attend!
#ACRambassador
REGISTER: rheumatology.org/annual-meeti...
I look forward to moderating many of the business of rheumatology sessions (NOV 8-9) and attend the Practice Innovation Summit (NOV 6-7) hope my fellow private practitioners will attend!
#ACRambassador
September 20, 2026 at 4:10 PM
@ACRheum @ACR26 Convergence Orlando Social Ambassador
REGISTER: rheumatology.org/annual-meeti...
I look forward to moderating many of the business of rheumatology sessions (NOV 8-9) and attend the Practice Innovation Summit (NOV 6-7) hope my fellow private practitioners will attend!
#ACRambassador
REGISTER: rheumatology.org/annual-meeti...
I look forward to moderating many of the business of rheumatology sessions (NOV 8-9) and attend the Practice Innovation Summit (NOV 6-7) hope my fellow private practitioners will attend!
#ACRambassador
😍 Living well with #SLE #lupus takes more than drugs. Join us WED, AUG 26 at 7PM ET (4PM PT) for a free virtual Lupus & You event by the Lupus Foundation @LupusOrg filled with practical, everyday tips from me for living as healthy a life as possible with lupus.
Register at lupus.org/lupus-and-you
Register at lupus.org/lupus-and-you
August 16, 2026 at 6:03 PM
😍 Living well with #SLE #lupus takes more than drugs. Join us WED, AUG 26 at 7PM ET (4PM PT) for a free virtual Lupus & You event by the Lupus Foundation @LupusOrg filled with practical, everyday tips from me for living as healthy a life as possible with lupus.
Register at lupus.org/lupus-and-you
Register at lupus.org/lupus-and-you
Ultraviolet (UV) light protection all year is important in disorders like #SLE #lupus #Sjogrens. Keep the car windows up. Older car side windows block 70% of UV light while newer cars block around 89%. Even better, get UV tinting:
CLICK www.lupusencyclopedia.com/lupus-and-ph...
CLICK www.lupusencyclopedia.com/lupus-and-ph...
August 1, 2026 at 5:37 PM
Ultraviolet (UV) light protection all year is important in disorders like #SLE #lupus #Sjogrens. Keep the car windows up. Older car side windows block 70% of UV light while newer cars block around 89%. Even better, get UV tinting:
CLICK www.lupusencyclopedia.com/lupus-and-ph...
CLICK www.lupusencyclopedia.com/lupus-and-ph...
Interesting article showing that belimumab dosing can be lengthened in select #SLE #lupus patients. I would consider this in patients who are in sustained remission and off steroids. Serologically normal patients would be the best candidates:
lupus.bmj.com/content/lupu...
lupus.bmj.com/content/lupu...
July 14, 2026 at 9:27 PM
Interesting article showing that belimumab dosing can be lengthened in select #SLE #lupus patients. I would consider this in patients who are in sustained remission and off steroids. Serologically normal patients would be the best candidates:
lupus.bmj.com/content/lupu...
lupus.bmj.com/content/lupu...
Patients and their loved ones: register for the upcoming Sjogren's Symposium by @CrunchyAllergy;
Virtual Conference JUL 16-18. Register at the link bottom right of image.
Virtual Conference JUL 16-18. Register at the link bottom right of image.
July 4, 2026 at 5:13 PM
Patients and their loved ones: register for the upcoming Sjogren's Symposium by @CrunchyAllergy;
Virtual Conference JUL 16-18. Register at the link bottom right of image.
Virtual Conference JUL 16-18. Register at the link bottom right of image.
🔥Dosing hydroxychloroquine by body weight blindly leads to undertreatment in some patients while leading to toxic levels in others with SARDs like #SLE #lupus #Sjogrens. HCQ drug levels should be used to give better care to patients:
CLICK HERE 👉
rheumnow.com/news/hydroxy...
@rheumnow.bsky.social
CLICK HERE 👉
rheumnow.com/news/hydroxy...
@rheumnow.bsky.social
May 20, 2026 at 6:47 PM
🔥Dosing hydroxychloroquine by body weight blindly leads to undertreatment in some patients while leading to toxic levels in others with SARDs like #SLE #lupus #Sjogrens. HCQ drug levels should be used to give better care to patients:
CLICK HERE 👉
rheumnow.com/news/hydroxy...
@rheumnow.bsky.social
CLICK HERE 👉
rheumnow.com/news/hydroxy...
@rheumnow.bsky.social
😍GREAT NEWS!
@FDA approves self-injectable #Saphnelo
Pen for #SLE #lupus! Once-weekly dosing: 120 mg per dose.
www.astrazeneca.com/media-centre...
NOTE: This is NOT sponsored AstraZeneca
@FDA approves self-injectable #Saphnelo
Pen for #SLE #lupus! Once-weekly dosing: 120 mg per dose.
www.astrazeneca.com/media-centre...
NOTE: This is NOT sponsored AstraZeneca
April 27, 2026 at 7:36 PM
😍GREAT NEWS!
@FDA approves self-injectable #Saphnelo
Pen for #SLE #lupus! Once-weekly dosing: 120 mg per dose.
www.astrazeneca.com/media-centre...
NOTE: This is NOT sponsored AstraZeneca
@FDA approves self-injectable #Saphnelo
Pen for #SLE #lupus! Once-weekly dosing: 120 mg per dose.
www.astrazeneca.com/media-centre...
NOTE: This is NOT sponsored AstraZeneca
Link to our PDF article on how to dose hydroxychloroquine.
Link to the pdf article: 1drv.ms/b/c/37bf2c37...
Online Link:
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
Article published in Arthritis, Care, and Research has not gone through copy editing. This is a "Full Access" article.
Link to the pdf article: 1drv.ms/b/c/37bf2c37...
Online Link:
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
Article published in Arthritis, Care, and Research has not gone through copy editing. This is a "Full Access" article.
March 7, 2026 at 9:38 PM
Link to our PDF article on how to dose hydroxychloroquine.
Link to the pdf article: 1drv.ms/b/c/37bf2c37...
Online Link:
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
Article published in Arthritis, Care, and Research has not gone through copy editing. This is a "Full Access" article.
Link to the pdf article: 1drv.ms/b/c/37bf2c37...
Online Link:
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
Article published in Arthritis, Care, and Research has not gone through copy editing. This is a "Full Access" article.
If you have #Sjogrens, come join us at the 2026 yearly Sjogrens Foundation National Patient Conference. Register at Sjogrens.org/get-involved/national-patient-conference
March 7, 2026 at 8:49 PM
If you have #Sjogrens, come join us at the 2026 yearly Sjogrens Foundation National Patient Conference. Register at Sjogrens.org/get-involved/national-patient-conference
Do you have #Sjogrens? Come join us at our yearly virtual National Patient Conference, where you will learn a ton about Sjogren's, what it is, how it is treated, and go away with a ton of practical advice you can put to use immediately in your own life:
sjogrens.org/get-involved...
sjogrens.org/get-involved...
March 7, 2026 at 8:15 PM
Do you have #Sjogrens? Come join us at our yearly virtual National Patient Conference, where you will learn a ton about Sjogren's, what it is, how it is treated, and go away with a ton of practical advice you can put to use immediately in your own life:
sjogrens.org/get-involved...
sjogrens.org/get-involved...
😍New AAO recommendations for HCQ screening
👉CLICK: www.aaojournal.org/article/S016...
Previously: Optical coherence tomography (OCT) and visual field (VF10-2) 10-2 as the screening tests of choice.
NEW RECOMMENDATION:
OCT plus a wide-pattern fundus autofluorescence (FAF)
👉CLICK: www.aaojournal.org/article/S016...
Previously: Optical coherence tomography (OCT) and visual field (VF10-2) 10-2 as the screening tests of choice.
NEW RECOMMENDATION:
OCT plus a wide-pattern fundus autofluorescence (FAF)
January 19, 2026 at 10:06 PM
😍New AAO recommendations for HCQ screening
👉CLICK: www.aaojournal.org/article/S016...
Previously: Optical coherence tomography (OCT) and visual field (VF10-2) 10-2 as the screening tests of choice.
NEW RECOMMENDATION:
OCT plus a wide-pattern fundus autofluorescence (FAF)
👉CLICK: www.aaojournal.org/article/S016...
Previously: Optical coherence tomography (OCT) and visual field (VF10-2) 10-2 as the screening tests of choice.
NEW RECOMMENDATION:
OCT plus a wide-pattern fundus autofluorescence (FAF)
👉 I've known for years that chromatin antibodies fluctuate predictably with #SLE #lupus disease activity in some of my patients. Now a study confirms this:
lupus.bmj.com/content/13/1...
lupus.bmj.com/content/13/1...
January 18, 2026 at 11:22 PM
👉 I've known for years that chromatin antibodies fluctuate predictably with #SLE #lupus disease activity in some of my patients. Now a study confirms this:
lupus.bmj.com/content/13/1...
lupus.bmj.com/content/13/1...
❤️🔥 #SLE #lupus:
lupus.bmj.com/content/12/2...
Moderate disease activity fullfills at least 1 of the following
Clinical SLEDAI: score between 4 and 8, excluding C3, C4, dsDNA.
Physician Global Assessment: > 1 and up to 2 on a 0–3 scale.
+ NO Severe SLEDAI and non-SLEDAI manifestations.
lupus.bmj.com/content/12/2...
Moderate disease activity fullfills at least 1 of the following
Clinical SLEDAI: score between 4 and 8, excluding C3, C4, dsDNA.
Physician Global Assessment: > 1 and up to 2 on a 0–3 scale.
+ NO Severe SLEDAI and non-SLEDAI manifestations.
January 18, 2026 at 10:49 PM
❤️🔥 #SLE #lupus:
lupus.bmj.com/content/12/2...
Moderate disease activity fullfills at least 1 of the following
Clinical SLEDAI: score between 4 and 8, excluding C3, C4, dsDNA.
Physician Global Assessment: > 1 and up to 2 on a 0–3 scale.
+ NO Severe SLEDAI and non-SLEDAI manifestations.
lupus.bmj.com/content/12/2...
Moderate disease activity fullfills at least 1 of the following
Clinical SLEDAI: score between 4 and 8, excluding C3, C4, dsDNA.
Physician Global Assessment: > 1 and up to 2 on a 0–3 scale.
+ NO Severe SLEDAI and non-SLEDAI manifestations.
👁️ It is Winter time when dry eyes in #Sjogrens #SLE #lupus can worsen. There are many easy tricks to help your dry eyes. If those fail, ask your doctor about the products in the image. See my post here:
www.lupusencyclopedia.com/dry-eyes-and...
www.lupusencyclopedia.com/dry-eyes-and...
January 10, 2026 at 8:00 PM
👁️ It is Winter time when dry eyes in #Sjogrens #SLE #lupus can worsen. There are many easy tricks to help your dry eyes. If those fail, ask your doctor about the products in the image. See my post here:
www.lupusencyclopedia.com/dry-eyes-and...
www.lupusencyclopedia.com/dry-eyes-and...
Lowest in NE
Highest in South #SLE #lupus
journals.sagepub.com/doi/10.1191/...
pubmed.ncbi.nlm.nih.gov/39936240/
acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
journals.sagepub.com/doi/10.1191/...
pubmed.ncbi.nlm.nih.gov/39936240/
acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
Highest in South #SLE #lupus
journals.sagepub.com/doi/10.1191/...
pubmed.ncbi.nlm.nih.gov/39936240/
acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
journals.sagepub.com/doi/10.1191/...
pubmed.ncbi.nlm.nih.gov/39936240/
acrjournals.onlinelibrary.wiley.com/doi/10.1002/...
December 20, 2025 at 11:10 PM
😍A study shows that structured exercise and dietary changes improved energy and quality of life in #SLE #lupus .
journals.sagepub.com/doi/epub/10....
- three 40-minute home-based regimens per week
- exercises aimed at large muscles
- Mindful eating
- Eat unprocessed or minimally processed foods
journals.sagepub.com/doi/epub/10....
- three 40-minute home-based regimens per week
- exercises aimed at large muscles
- Mindful eating
- Eat unprocessed or minimally processed foods
December 20, 2025 at 10:41 PM
😍A study shows that structured exercise and dietary changes improved energy and quality of life in #SLE #lupus .
journals.sagepub.com/doi/epub/10....
- three 40-minute home-based regimens per week
- exercises aimed at large muscles
- Mindful eating
- Eat unprocessed or minimally processed foods
journals.sagepub.com/doi/epub/10....
- three 40-minute home-based regimens per week
- exercises aimed at large muscles
- Mindful eating
- Eat unprocessed or minimally processed foods
Dooren surprisingly showed that anti-Smith and RNP were reduced in tandem with antidsDNA. The fluctuations were not statistically significant, but numerically, they fluctuated with disease activity. I just checked a patient: her Smith DID as well.
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
December 20, 2025 at 10:13 PM
Dooren surprisingly showed that anti-Smith and RNP were reduced in tandem with antidsDNA. The fluctuations were not statistically significant, but numerically, they fluctuated with disease activity. I just checked a patient: her Smith DID as well.
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
acrjournals.onlinelibrary.wiley.com/doi/epdf/10....
My Aunt’s cat, Molly, is a fan of my book but I don’t think she realizes it is upside down
December 20, 2025 at 8:34 PM
My Aunt’s cat, Molly, is a fan of my book but I don’t think she realizes it is upside down
This is my Aunt Nikki who I dedicated my 2nd edition of The Lupus Encyclopedia. She means a lot to me and I love her very much. Of course she is spoiling me with delicious food. Where would we be without those who love and believing us?
December 20, 2025 at 8:31 PM
This is my Aunt Nikki who I dedicated my 2nd edition of The Lupus Encyclopedia. She means a lot to me and I love her very much. Of course she is spoiling me with delicious food. Where would we be without those who love and believing us?
🔥 Knowing what to do for peripheral nervous system involvement in systemic autoimmune diseases like #Sjogrens #SLE #lupus is challenging. We now have evidence based guidelines that will help health care providers take better care of patients!
acrjournals.onlinelibrary.wiley.com/doi/abs/10.1...
acrjournals.onlinelibrary.wiley.com/doi/abs/10.1...
December 2, 2025 at 3:48 PM
🔥 Knowing what to do for peripheral nervous system involvement in systemic autoimmune diseases like #Sjogrens #SLE #lupus is challenging. We now have evidence based guidelines that will help health care providers take better care of patients!
acrjournals.onlinelibrary.wiley.com/doi/abs/10.1...
acrjournals.onlinelibrary.wiley.com/doi/abs/10.1...
Boy! I cannot believe it has been 33 years of continuous rheumatology board certification! ABIM Foundation just sent me this. I think I might know what I am doing by now :-)
November 24, 2025 at 9:53 PM
Boy! I cannot believe it has been 33 years of continuous rheumatology board certification! ABIM Foundation just sent me this. I think I might know what I am doing by now :-)
Thanks Republicans and those Democrats who caved. This is the reality. You do not know what it is like to live pay check to pay check. You are hurting my patients!! These are posts on the lupus subreddit
November 15, 2025 at 11:29 PM
Thanks Republicans and those Democrats who caved. This is the reality. You do not know what it is like to live pay check to pay check. You are hurting my patients!! These are posts on the lupus subreddit