Dr. Maggie Cadet Blog Highlight

In May for Lupus Awareness Month we were able to have a live candid conversation with Dr. Maggie Cadet. She gave us some great information and is our blog highlight for the day.

May was Lupus Awareness Month and I was honored to speak with @lupusincolor about this important autoimmune disease which can target so many organs.

This disease particularly is important to me because of the impact on women’s health and the Black community.  The Lupus Foundation of America estimates that 1 in 250 African American women will develop lupus and Research has shown that Black, Asian and Hispanic patients may experience more complications  the disease at a more rapid rate once a diagnosis is established. 

It is my pleasure to educate all communities but particularly the Black and  minority communities about this autoimmune disease so they may be equipped to take action and battle this disease. I am supporting Lupus warriors of all shapes, colors and sizes!

       HERE ARE SOME COMMON LUPUS MYTHS:

MYTH #1: LUPUS only affects women?

TRUTH: Although 90% of individuals who are affected are females of minority populations, Lupus CAN affect males and many times the disease may be worse at diagnosis and may have kidney and skin involvement.  Males need to be aware of symptoms so there is not a delay in diagnosis and treatment!  Men can’t be afraid to seek help and ask questions about their symptoms if Lupus is a consideration as a diagnosis.

MYTH #2: There is a single type of lupus.

TRUTH: Lupus is an autoimmune disease that causes your immune system to produce proteins called auto antibodies to attack your own tissues and organs instead of a foreign agent or substance.  Sometimes lupus can be limited to the skin only called cutaneous lupus.  Lupus can affect babies/fetuses as well. There are 4 types of lupus:

1) Cutaneous (Skin) Lupus- You can have a purple or red rash or scarring lesions, hair loss or discoloration

2) Drug Induced lupus (DILE)- may be caused by certain medications such as hydralazine for high blood pressure, isoniazid for tuberculosis, minocycline (antibiotic, procainamide and quinidine (anti-arrhythmics), TNF inhibitors used for rheumatoid arthritis. Procainamide and hydralazine appear to have the highest risk for developing this type of lupus.

3) Neonatal lupus- Affects the newborn infants of women with lupus when certain antibodies in the blood (Ro/SSA and La/SSB antibodies) cross the placenta from mother to the fetus. It is rare but can present as a red rash or skin eruption, low white blood cells or platelets, liver disease and some may develop heart symptoms or congenital heart block.

     MYTH #3: You can’t get pregnant or consider having a family if you have Lupus

     TRUTH: Women CAN have a full term pregnancy but some may experience bouts of infertility or pregnancy related issues.. The processes that are involved in the immune response of females with Lupus patients are more at risk for

–        Still births

–        Preeclampsia

–        Preterm births

–        C sections

There are resources for family planning which include The American College of Rheumatology (ACR) Reproductive Health guidelines and also the HOP-STEP website/program for Lupus  patients which is found on lineThere are medications that treat lupus that are also compatible with pregnancy like Plaquenil or Imuran. It is recommended that patients should try and be in remission or have low clinical disease activity for at least 6 months before considering pregnancy.  Also, women should discuss birth control options with their physician until it is time to think about becoming pregnant.

MYTH#4: There is no overlap with Lupus and COVID-19

TRUTH: There may be an overlap in symptoms with Lupus and COVID-19 infection. 

Patients with lupus may be at more risk for contracting the virus because of their already immunocompromised state and the medications these patients are on like steroids which may further suppress the immune system. Please call your doctor if you are experiencing the symptoms below.

Signs of Symptoms of SLE/Lupus flare

– Fever

– Extreme fatigue

– Headaches, neurological symptoms

– Shortness of breath

– Hair loss

– Weight loss 

– Joint pain, joint swelling and muscle aches

– Rash on face (butterfly rash, discoloration, scarring rash) 

– Swollen glands

– Loss of appetite

– Chest pain

– Leg and facial swelling, foamy or dark or red urine- may indicate kidney disease

– New clots if associated with antiphospholipid syndrome

COVID-19 SYMPTOMS IN ADULTS

– Fever

– Fatigue

– Cough (dry)**

– Headache

– Body aches

– Discoloration of feet (“COVID toes”), other rashes

– Sore throat

– Chills

– Loss of taste and smell **

– Nausea and diarrhea

– Respiratory failure

– Blood clotting abnormalities

-No symptoms at all!!

A rheumatologist will have to do blood work, urinalysis, chest radiograph and assess symptoms to determine if further evaluation for COVID infection is needed.  Currently investigation for optimal COVID treatment is still being conducted.  Steroids and other immunosuppressants work for Lupus. Ironically a recent study conducted in the UK has shown Dexamethasone (orally or IV) to improve survival in critically ill COVID19 patients requiring oxygen or a ventilator.

Let’s get informed to Fight This Disease!

With love,

Dr. Maggie Cadet

NYC rheumatologist

Associate Attending, NYU Langone

www.maggiecadetmd.com

Be sure to check Dr. Cadet’s website for more great information on lupus and other autoimmune issues.

#LupusInColor #BlogHighlight

Day 30 30 Day Get Moving Challenge

Day 30 30 Day Get Moving Challenge

CONGRATULATIONS

It’s the last day of the 30 day get moving challenge. Let’s get moving with a nice long walk together live online. We will walk for 30 minutes.

You are amazing. You have stuck with it and stayed moving for 30 days. You should be proud of yourself. Even if you have had to take a break you still took the challenge and worked hard at getting moving. Well done!

#LupusInColor #30daygetmovingchallenge

Day 29 30 Day Get Moving Challenge

Day 29 30 Day Get Moving Challenge

Get moving with a couch workout. couch mountain climbers, sit calf raises, plank jacks, couch toe taps each for 30 seconds 3 rounds.

As you battle lupus you have to be crafty and creative in getting your workouts in. In between the pain and fatigue it can be difficult. Little workouts like these can be great in helping you get your body moving without overdoing it.

#LupusInColor #30daygetmovingchallenge

Try the video below to get a look as to how you can achieve this workout. Video courtesy of @justin_agustin on TikTok

Day 28 30 Day Get Moving Challenge

Day 28 30 Day Get Moving Challenge

Get outside and take a nice long walk. Try and walk at least 30 minutes with some brisk walking in between.

Walking at least 30 minutes a day, five days a week can reduce your risk for coronary heart disease by about 19% and your risk may reduce even more when you increase the duration or distance you walk per day.

#LupusInColor #30daygetmovingchallenge

Day 27 30 Day Get Moving Challenge

Day 27 30 Day Get Moving Challenge

Okay let’s get back moving. 20 Crunches, 30 bicycles and 10 pushups. Rest 1 minute then Repeat the cycle 2 times.

Time-saving bodyweight workout plans are great when you are just starting out or may have some pain. All can be modified to your own capabilities and can be done at your own pace. Remember you aren’t in competition with anyone. You just want to get your body moving.

#LupusInColor #30daygetmovingchallenge

Day 26 30 Day Get Moving Challenge

Day 26 30 Day Get Moving Challenge

REST TODAY! Enjoy just the action of resting. You’ve been moving non-stop for 26 days, just sit and be thankful that you were able to move!

Rest is important in any workout. Don’t feel guilty to take a break and recover!

#LupusInColor #30daygetmovingchallenge

Day 25 30 Day Get Moving Challenge

Day 25 30 Day Get Moving Challenge

5-10-15 Workout Circuit

5 push-ups, 10 sit-ups, 15 Squats. Rest 10 seconds 5 Jumping squats, 10 alternating lunges, 15 reverse crunches Rest 15 seconds & Repeat one time.

This 5-10-15 workout is the perfect starter workout for bodyweight exercise. Once you start repeating the circuit, you’ll see just how effective and challenging it can be! It’s a great way to get moving. Take your time and keep trying until you can get through the entire circuit.

#LupusInColor #30daygetmovingchallenge

Day 24 30 Day Get Moving Challenge

Day 24 30 Day Get Moving Challenge

We are walking again today. It’s the easiest way to get moving. Today throw on your favorite playlist and walk in place for the entire playlist. If you feel crazy throw in some dance moves.

Walking protects the joints — especially the knees and hips, which are most susceptible to osteoarthritis — by lubricating them and strengthening the muscles that support them.

#LupusInColor #30daygetmovingchallenge

Day 23 30 Day Get Moving Challenge

Day 23 30 Day Get Moving Challenge

Get your sweat on with a stretch, high knees, bunny hop and box toe touches. Do each one for 30 seconds rest for one minute and repeat 2 times. Stretch again to cool down.

Make every minute count! Get some cardio in and let the calories burn! The main purpose of doing cardio exercise is to improve your heart health and efficiency of the rest of the “circulatory system”. As a result, your heart and lungs will get healthier, stronger and more able to work more efficiently.

#LupusInColor #30daygetmovingchallenge

Workout photos courtesy of The Blessing Bucket (theblessingbucket.com)

Day 22 30 Day Get Moving Challenge

Put on your jacket and sneakers and go outside and walk for 10 minutes. No matter what the weather is get outside.

Fresh air enhances your brain functioning and improves your concentration skills. By spending only a few minutes outside each day can help you stay more aware and alert and ward off lupus fogs.

#LupusInColor #30daygetmovingchallenge