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Li Jing
Rheumatology
About me
Graduated from Sanquan College of Xinxiang Medical College in 2010, and has been working at Kaifeng Central Hospital since graduation.
Proficient in diseases
Proficient in the diagnosis and treatment of acute and chronic kidney disease, acute and chronic pyelonephritis, nephrotic syndrome, lupus, gout, and rheumatoid arthritis.
Voices
Foods to avoid with herpes zoster
Shingles is a viral infection, most commonly seen in individuals with diabetes, autoimmune diseases, the elderly, or those who have been taking immunosuppressive drugs for a long time. In other words, it mainly occurs in people with compromised immune systems, who are susceptible to shingles virus infections. After the blisters from the shingles infection rupture, the skin can become infected. It is advisable to wear cotton clothing to help prevent infection. Regarding diet, it should be emphasized again to drink plenty of water and eat fresh fruits and vegetables, while avoiding spicy and irritating foods.
Can people with ankylosing spondylitis have children?
Firstly, ankylosing spondylitis is an autoimmune disease and is chronic. This disease cannot be cured; rather, it is managed long-term through medications to alleviate symptoms, control the progression of the condition, and delay the onset of joint deformities, which is the main purpose of treatment. This disease is not hereditary, but there is a clear phenomenon of familial aggregation. For instance, if one or both parents have it, the incidence in their children is over 50%. Patients with ankylosing spondylitis can have children, but there is a very high probability that their children will also suffer from the disease. Additionally, it is advised not to conceive while on medication during the treatment period; one must stop taking the medication for more than three months before considering pregnancy.
What should be noted for systemic lupus erythematosus?
Systemic lupus erythematosus is an autoimmune disease and a chronic disease that damages multiple systems. It cannot be cured, only controlled by medication to manage symptoms, delay complications, and reduce mortality; these are the primary treatment goals. Therefore, during treatment, several aspects must be carefully considered: First, avoid prolonged sun exposure, chemical irritants, being overly cold or fatigued, as these can trigger the condition. Women should also avoid taking oral contraceptives. Second, do not be misled by advertisements and promotions; always seek treatment in reputable hospitals to prevent complications. Third, during treatment, always keep in contact with your attending physician. Do not adjust or reduce your medication on your own, as this can exacerbate the disease and greatly increase the risk of relapse.
Can systemic lupus erythematosus be cured completely?
Firstly, systemic lupus erythematosus is a chronic autoimmune disease that causes damage to multiple systems. Its occurrence is associated with factors such as genetics, environmental pollution, infections, and hormone levels. As an autoimmune disease, it cannot be completely cured. Treatment involves using medications to control symptoms, delay the onset of complications, reduce disability rates, and improve quality of life. This represents the comprehensive goals of its treatment. The first choice of treatment is corticosteroids. Once diagnosed with systemic lupus erythematosus, it is essential to conduct thorough examinations to assess the activity of the disease and the organs involved. Based on the activity of the disease and the organs affected, the dosage of treatment may vary.
Does allergic purpura spread to others?
Firstly, allergic purpura is neither a genetic nor a contagious disease, so there is no need to worry about it being inherited or transmitted to others. It is an allergic reaction caused by drugs, food, or infections, typically manifested by bleeding and bruising on the skin and mucous membranes of the limbs, joint pain, and hematuria. Diagnosis requires the combination of clinical manifestations and related tests such as urinalysis. If it is merely a case of the skin type, it only necessitates bed rest and observation of the number and extent of bleeding points on the skin and mucous membranes without special treatment. If there are symptoms like black stools or proteinuria, bed rest is imperative along with the use of anti-allergy medications or corticosteroids to enhance treatment, continuing until the proteinuria resolves.
Systemic lupus erythematosus is not contagious.
Systemic lupus erythematosus is a chronic autoimmune disease that can damage multiple systems and affect multiple organs. Its occurrence is related to genetics, environmental pollution, hormonal levels, and infections. It is classified as an autoimmune disease and is not infectious or contagious. Once diagnosed with systemic lupus erythematosus, it is important to thoroughly complete related examinations and assess the activity level of the disease, as treatment plans vary accordingly. Therefore, for patients with systemic lupus erythematosus, there is no need to worry about it being contagious. However, there is a hereditary tendency, meaning if the parents have it, the likelihood of their children developing the disease is significantly higher than others.
Systemic Lupus Erythematosus Test Items
First, if there are symptoms such as facial erythema, butterfly rash, joint pain, hair loss, or even stillbirth or miscarriage, systemic lupus erythematosus should be suspected. For systemic lupus erythematosus, related medical tests are necessary, including complete blood count, urinalysis, erythrocyte sedimentation rate, C-reactive protein, 13 autoantibody tests, and anticardiolipin antibodies. These are the primary and most basic tests, specifically the 13 autoantibody tests. If the diagnosis is confirmed based on these tests, further assessments such as heart evaluation, chest CT need to be perfected. When necessary, 24-hour urine protein quantitation and kidney biopsy should be performed to assess the damage to the kidneys and the severity of the condition, mainly influencing the subsequent treatment plan.
Can systemic lupus erythematosus be cured?
Systemic lupus erythematosus (SLE) kidney is a chronic autoimmune disease with multi-organ damage that occurs systemically. This disease is common in women of childbearing age and is most frequently characterized by facial rashes. It can also present with fever, hair loss, and even edema of both lower limbs and hypoalbuminemia. As an autoimmune disease, it cannot be cured and can only be managed with medications. Treatment aims to stabilize the condition and gradually reduce the medication dosage to the minimum necessary to maintain the condition and prevent it from becoming active, thus delaying damage to other organs. Systemic lupus erythematosus involves multiple systems, with the kidneys being the most susceptible, requiring formal medical treatment to prevent complications in the organs.
What causes ankylosing spondylitis?
Ankylosing spondylitis is primarily an autoimmune disease affecting the axial joints, which may also manifest with extra-articular symptoms. In severe cases, deformities and stiffening of the spine can occur. The cause of the disease is attributed to the interactive effects of genetics and environmental factors, making it a multi-gene inherited disorder. However, for some individuals, it may also be related to infections such as Ureaplasma urealyticum, Shigella, Salmonella, and Escherichia coli in the urinary and genital tracts. These pathogens trigger the body's inflammatory immune response, resulting in tissue damage and contributing to the onset and progression of the disease. There is a notable familial aggregation in the occurrence of this disease.
Can allergic purpura be cured?
Allergic purpura mainly occurs in adolescents and children, often in the spring and autumn seasons, and is typically related to bacterial infections, viral infections, and allergies to medications and foods. The most common clinical symptoms include bruises on both lower limbs, bleeding, black stools, joint pain, and abdominal pain. Upon the appearance of bruises on the lower limbs, it is recommended to complete routine blood tests, erythrocyte sedimentation rate, and autoantibody tests to rule out other autoimmune diseases causing skin bruises. During the acute phase, it is necessary to rest in bed, drink plenty of water, and eat a light diet. If there are only simple skin bruises, these may resolve after rest. However, if joint pain, bloody stools, and black stools occur, formal and active treatment is required, as these symptoms will not resolve on their own. Additionally, the presence of blood or protein in urine suggests kidney involvement, indicating that the condition has worsened.