iiinova — where your digital self keeps evolving

Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/09/2026

@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

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 21/08/2026

deQuervains tenosynovitis due to an #SLE #lupus flare, clearly showing inflammatory tenosynovitis in the 1st image (the red areas). Image 2: inserting the needle into the tendon sheath, Image 3: the steroid entering the space around the tendon and within the sheath

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 16/08/2026

😍 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

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 01/08/2026

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...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 14/07/2026

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...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 04/07/2026

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.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/05/2026

🔥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

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 27/04/2026

😍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

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 07/03/2026

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.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 07/03/2026

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

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 07/03/2026

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...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 19/01/2026

😍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)

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 18/01/2026

👉 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...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 18/01/2026

❤️‍🔥 #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.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 10/01/2026

👁️ 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...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/12/2025

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/...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/12/2025

😍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

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/12/2025

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....

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/12/2025

My Aunt’s cat, Molly, is a fan of my book but I don’t think she realizes it is upside down

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/12/2025

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?

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 02/12/2025

🔥 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...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 24/11/2025

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 :-)

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 15/11/2025

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

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 15/11/2025

😍 I LOVE the @EULAR guidelines for 1st-line therapy for LN! If everyone did this IMMEDIATELY (include a CNI, obinutuzumab, or belimumab) instead of just mycophenolate or CYC with steroids, greater numbers of patients would go into renal remission & fewer to end stage renal disease! #SLE #lupus

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 07/11/2025

I just got a 22 page, 108 question drug prior auth for patient from @expressscripts.bsky.social @bluecrosspa.bsky.social for patient's adalimumab: she has been on for years. We proved she needed this many times in the past. My notes very clearly show how she failed so many and doing great on this.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 06/11/2025

😍😍Click on "2025 Systemic Lupus Erythematosus Guidelines" here: rheumatology.org/lupus-guidel... @ACRheum @ACR_Journals

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 28/10/2025

Meeting with like-minded people to improve lives of patients at @ACRheum #ACR25 is wonderful #Sjogrens #lupus #SLE

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 26/10/2025

A wonderful awards and opening session at #ACR25 by the ⁦‪@ACRheum‬⁩ …. Celebrating better care for our patients…. Dedicated professionals who love our profession and giving to society

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 21/10/2025

Private practice rheumatologists: PLEASE: If you do not belong to the ACR, please do. If you do, please volunteer for committees when the time opens up in a few months. I just joined the Board of Directors and learned that only 10% of applicants are private practice! rheumatology.org

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/10/2025

🔥One of my favorite parts of the 2025 ACR SLE Management Guidelines! I have been doing this for over 20 years as a "loading dose": HCQ works faster. This is another steroid-sparing tactic to use in SLE patients. I do this for 1-3 months initially.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 20/10/2025

FDA approved #obinutuzumab #Gazyva for the treatment of #SLE #lupus nephritis when used with other standard therapies! Complete renal responses: higher than standard therapies. Studies show deep tissue B-cell depletion.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 09/10/2025

Exactly 13 years ago I accidentally won this adorable puppy at an auction at the @ArthritisFdn Gala. I was raising my hand to drive up the price. Little did I know … the bidding stopped and I became the shocked owner of this adorable Bichon. Please consider donating to the Arthritis Foundation

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 06/10/2025

Please donate to the Arthritis Foundation Metro DC! In these trying times of drastic research funding withdrawals from today's administration, science-based advancements are in jeopardy. CLICK here (then click DONATE), even just a little makes a big difference: my.onecause.com/event/organi...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 01/10/2025

The App for the @ACRheum Annual Meeting Convergence #ACR25 is available! Cruise the sessions, pick those you are interested in now. It is easy, just hold your finger down a couple of seconds, and it is saved: rheumatology.org/annual-meeti...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 13/09/2025

💵 Please help with arthritis research and advocacy. Give to the Arthritis Foundation by helping with their 2025 DC Gala. I'm honored that they named me their Medical Honoree for this year. Click below to give to the @ArthritisFdn ... JOIN my team! CLICK👉: onecau.se/_c8wu31

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 04/09/2025

8:30 AM arrived at Washington Dulles airport. I have never seen no one at all in either long. Perfect timing for me. Shreveport, Louisiana here I come to give a lupus talk.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 31/08/2025

I was in Georgetown yesterday. I couldn't believe all the military on the streets. NO ONE feels unsafe in Georgetown on a Saturday. This administration is wasting money. While 40% of NIH research dollars are removed, and 1 $Billion is taken away from the DC budget (less police officers).

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 29/08/2025

✏️ Register now for the largest international conference dedicated to improving the lives for people suffering from rheumatic diseases. I hope to see you there at @ACRheum #ACR25 rheumatology.org/annual-meeti...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 29/08/2025

I have a patient with RA with LGL. @bluecrosspa.bsky.social only allows Ruxience or Truxima. We gave Truxima as required. CareFirst paid $600 LESS FOR TRUXIMA than the cost! They refuse to pay the true price. If we give her Rituxan, we would not lose $, but CareFirst refuses: system needs fixed!

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 29/08/2025

😡 No matter what your political views are ... FACT... the @donaldjtrump-maga.bsky.social Administration is an enemy of research, scientific truth, and health welfare of its citizens. A nonhealthcare provider, Jim O'Neill= named head of the CDC while an amazing physician director was kicked out.

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 28/08/2025

My cat Siroe is either: Crossed Or Demonstrating a perfect example of near vision ocular convergence.. if the latter and if this is also his example of miosis… then his mydriasis should be truly huge!

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 23/08/2025

Our ferocious guard dog, Musette. I hope she is scary enough to frighten away burglars! Actually, I think she would beg them to cuddle with her instead

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 23/08/2025

oin your colleagues to hear and see about all the latest amazing advancements for the management of rheumatologic patients at this year's @ACRheum Convergence #ACR25 : rheumatology.org/annual-meeti...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 17/08/2025

The Sjögren’s Foundation has a 20-minute patient survey open to better understand what life with #sjogrens is really like. It is confidential, pushes for better research, treatments, and support. Must be 18+ US resident; closes 9/4/25. surveys.harrisinsights.com/survey/selfs... sjogrens.org/survey

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 16/08/2025

My picturesque kitty, Siroe, posing for the pic with my cousin-in-law, Scott

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 11/08/2025

😍 How exciting! #Ianalumab by @Novartis , the first every drug to pass phase 3 trials for @Sjogrens! Could we have our very first FDA-approved drug to treat the systemic manifestations of Sjogren's? www.novartis.com/news/media-r... I can't wait to offer my patients the potential for relief!

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 10/08/2025

@themednet.bsky.social has a new search ability making it even easier to find answers from colleagues. If not answered in the past, ask a new question to get answers from experts you trust: blog.themednet.org/the-new-medn...

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Donald Thomas, MD @lupusencyclopedia.bsky.social · 31/07/2025

Study from Duke shows that some patients with type 2 symptoms are probably immunomodulated and can improve with immunomodulatory therapy. lupus.bmj.com/content/12/1...

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