Graves’ disease is an autoimmune disease characterized by a metabolic imbalance resulting from overproduction of thyroid hormones (thyrotoxicosis). Graves’ disease is rarely life-threatening. Graves’ disease is more common in women and usually starts after age 20. Graves’ disease can have a result on various parts of the body such as the nervous system, eyes, skin, hair/nails, lungs, digestive system, muscles/bones and reproductive system. Graves’s disease is the most familiar cause of hyperthyroidism. The production of thyroid hormone is augmented, causing a broad range of symptoms from nervousness and restlessness to insomnia and weight loss.

Graves’s disease is caused by an abnormal immune system response that attacks the thyroid gland, and causes too much production of thyroid hormones. Risk factors are being a woman over 20 years old, although the disorder may arise at any age and may involve men as well. Normally, the symptoms of Graves’ disease are identical to the symptoms of hyperthyroidism, a condition that can be caused by Graves’ disease. Classic symptoms comprise an enlarged thyroid gland (goiter), anxiety, heat intolerance, weight loss, sweating, diarrhea, tremors, palpitations and exophthalmos.

Thyroid storm, a complication of Graves’ disease, may lead to life-threatening heart, liver, or kidney failure. Thyroid storm begins suddenly and may be caused by a stressful event. The signs and symptoms of thyroid storm comprise extreme irritability, high blood pressure, rapid heart rate, vomiting, high fever, delirium and coma. Left untreated, it can be fatal. Treatment involves alleviation of symptoms and correction of the thyrotoxic state. Beta-blockers such as propranolol are frequently employed to treat symptoms of rapid heart rate, sweating, and anxiety until the hyperthyroidism is controlled.

Hyperthyroidism is treated with antithyroid medications, radioactive iodine, or surgery. Thyroidectomy is surgical removal of all or part of the thyroid gland. Surgery is the preferred treatment for people with a huge goiter who chronically relapse after drug therapy. Other treatment of Graves ‘disease includes antithyroid drugs which diminish the production of thyroid hormone. Taping the eyes closed at night to prevent drying may sometimes be required. Sunglasses and eye drops may reduce irritation of the eyes. Rarely, surgery may be required to return the eyes to their normal position.


11 thoughts on “Sores On Scalp Lupus

  1. Anonymous

    What is wrong with me? Chronic pain, High Sed rate & High Platelet Count. PLEASE HELP!!!?
    Hello out there! I am desperately seeking answers. I am a 40 year old female who was diagnosed with Fibromyalgia back in 1998. Back then my symptoms were chronic back spasms with all tests normal. Over the years my symptoms have continued to gradually increase. 5 years ago I was put on Zoloft and that was my miracle drug since it helped me to manage my pain and function once again.

    Recently (over the last 2 years) my pain has intensified accompanied by other symptoms. Currently I do not have insurance and being in this desperate state I ventured off to a nearby clinic. I begged them to do a Lupus test but instead they did a CBC and wanted to put off on Thyroid. My CBC came back normal however my platelet count is 475H. After pleading with them, a lupus test was done but it was negative (8.8) however my sed rate is abnormal at 36H.
    Here is a list of my current symptoms:
    Tired, Sleepy & Lack of energy
    Migraine Headaches (almost daily)
    Eye sensitivity to light
    Constant achy flu like cramping of muscles in back, hands, feet, back, and legs.
    Stiffness in Body
    Occasional numbness in my arms, hands, fingers legs & feet
    Occasional sharp stabbing pain in my fingers down to the bone
    Pain in Hip bones (both sides)
    Foggy Memory / Hard to focus
    Frequent Low grade fever of 99.1- 99.9
    Outbreak / Rash (Look like DLE lesions) on scalp and recently arms, legs & buttocks.
    Spotty Hair Loss (alopecia)
    Canker sores
    Recent Incontinence issues

  2. Anonymous

    I Need Some Brainstorming Re: a Rheumatological Issue?
    When I was 26 (23 years ago) my knees started to hurt. I went to the Doc and they did a blood test and said that I have Rheumatoid Arthritis. I was satisfied with that diagnosis. It definitely seemed plausible at the time. Over the years the joint pain now involves both hands and wrists as well as my knees and my lower back.
    But the damnedest thing happened….
    I have Carpal Tunnel in both hands (have had it since my late 20’s). I went to have a carpal Tunnel release on the right hand, and my Osteopath told me that I did not have RA and I’m thinking, “why do my freaking joints hurt?” At this point I am totally confused…
    Keep in mind that I have tested positive for RA since my first diagnosis up to the present.
    During all of these years I have had various issues with my skin: itchy patches, lately on my chest, on neck behind both ears, on my back just under my neck, and on my scalp, scaly skin on both breasts, around my nostrils and in the center of my forehead just above the eyebrows, in the hollows of both cheeks on my face and across the bridge of the nose. Even the insides of my ears itch. It started out as just itchy patches on my neck behind both ears. The itchy spots don’t seem to bleed or scab over and they are hardly noticeable except for the change in skin texture and some skin blotchiness that doesn’t go away- the skin feels a little spongy when compared to the surrounding skin.
    I recently found out (after waking up one morning out of the blue with cherry red eyes) that my tear ducts have all but stopped making tears – I am on Restasis and Patanol (for allergies, which was also discovered during this time). My throat and mouth get easily dried out.
    Over the years I have also had short episodes of numbness and tingling in the extremities – one time (in my 20’s) my left leg was almost totally numb for two days, luckily I have not had an episode that extreme since. The the odd numbness here and there continues.
    Now I am not only experiencing pain in the joints in my hand and wrist, I am experiencing stiffness in them, too. I fumble and drop things. It is tough to manage working with keys and other objects because it feels like I am trying to work through several pairs of gloves.
    I had a small ring of fungus on my feet for several years that although annoying, it did not become larger. Now all of a sudden it is trying to take over my feet and crawl up my leg.
    I have had, over the last 20 years four ANA (Anti-Nuclear Antibody) tests and they have all shown neg for possible Lupus – my last one was two years ago. All of the stuff that is happening anew and getting worse has been happening within the last year.
    I (supposedly) have RA but little to no joint damage after 23 years….
    I do have Hidradenitis Suppurativa (a skin condition that researchers suspect may have autoimmune elements) – this is apart from the itchy patches. The HS is hereditary.
    Hep C, (got it from cleaning up some blood after an accident back in ’84) but my Gastroenterologist says that my liver is functioning well. I do not drink and I seem to have no outward ill effect from that.
    Asthmatic Bronchitis.
    I can’t seem to walk a perfectly straight line and when I do walk, I tend to list to the left in my gait.
    My hair is like wiry and dry.
    I also get cold sores but breakouts are rare.
    Worse yet, my brain is fuzzy – I’ll be talking to someone and stop, trying to think of, in many cases a very simple word – this is happening more and more. For instance, me and a friend of mine were in WalMart getting some stuff for my new apartment and I needed a laundry basket but could not think of the phrase “laundry basket”. Stuff like that..I just am in a fog trying to recall simple words and phrases.
    I am on Paxil for a moderate case of depression, but hell, I’m thinking of getting off of it to see if my memory improves..I’m OK with the mild bouts of the blues as long as a I can think and recall. By the way, no problem recalling events whether present or past.
    I also take Hydrochlorothiazide for blood pressure – my pressure’s good.
    I don’t know what to think except that my immune system is really pissed with me.
    I see a Rheumatologist later this month (first one I have ever seen in my life and I hope he is a good one, ’cause I don’t know WTF is going on.
    Any ideas? Mature answers please.

    P.S. No nookie in 6 years (for those who like to chime in with ‘you got AIDS’ and such….
    I have also had a hysterectomy two years ago, so no menstrual issues…
    No hot flashes, Menopause is OK, no hormones necessary (yet)
    No, the Osteopath just did the surgery on my right wrist – I was surprised that he did not do any testing; maybe he was working from previous test data, if any.
    By the way, thanks for the links! 😀

    1. jusjokin12

      You might want to be check for Psoriatic arthritis with is also an auto immune disease. One thing that you need to real that RA will affect all your organs that includes your heart and lungs as well. As long as you are taking preventative care you should not suffer from the damage RA can do. I was diagnosed with JRA when I was 3 yrs old and back in those days (50’s) they used a lot of Cortisone in all my joint which did not help really and affect my growth somewhat. Be sure that you list every issue and symptom that you are experiencing to let the Rheumatologist know. You also may want to see a Dermatologist to get a check on the psoriasis, but one that specializes in that area. Check out info that I have listed. Did your Osteopath do the same RA tests again?

  3. sxyblueyes0980

    Achy joints (Serious answers preferably from medical professional please)…?
    Okay, so I’m a medical professional too, but this is not my area of specialty and I’m curious for more information from someone who has personal experience, or from someone who is also a medical professional who knows more about this. Please give sources if you have them.
    Here’s the deal:
    I went to the doctor the other day because here lately (for about the last 2-3 mos) I have been EXTREMELY fatigued and just very weak. I also started getting lesions on my scalp and began losing patches of my hair around the hair line. My acne was getting a little worse, irritable off and on, and just overall a feeling that something is wrong. Then, my right thumb started getting really sore around the bottom joint (the joint closest to my palm). I thought maybe I did something to it, so I treated it, but it’s not getting better. In fact, it’s getting worse. It feels like I need to pop it, but if I pull it or move it a certain way, it hurts really bad. Then, my left middle finger started doing the same thing. It’s in the middle joint though. I also sleep on the heating pad every night because my back seriously hurts. Well, what sent me to the doctor out of real concern, is about two weeks ago, I woke up from a nap and came to sit on the couch. I was just sitting there and all of a sudden I started feeling REALLY bad. I got real sick to my stomach, started shaking all over, my limbs felt really heavy, and the thought of moving anything was unbearable. When I finally started feeling a little stronger, I got up to go the bathroom to get a wet rag. When I stood up and began walking, I passed out. I was out for about 2 minutes and woke up very weak. I think maybe my blood sugar dropped, but I am not sure, as I’ve never been diagnosed hypoglycemic, but the symptoms matched that exactly. I ate some sugary foods, then stabalized myself with some peanut butter and crackers. About an hour later I felt better, but just worn out.
    So, I saw the doctor this last week and she said she felt it was my blood sugar that made me pass out as well, but was not real sure about everything else. She said she’s going to test me for rheumatoid arthritis and lupus. She’s also going to check my cortisol levels, which I’m assuming is because she thinks my adrenal glands may not be functioning very well.
    I am under a massive amount of stress (no joke), sometimes only get about 3-5 hours of sleep a night, and am required to be active all day. My past medical problems/surgeries are:
    tachycardia
    hypotension
    8 kidney stone removals with stint placement
    gallbladder removed
    appendix removed
    c-section
    anxiety
    ovarian cysts
    endometriosis

    I have no other medical issues that I know of. The medications I’m on are:
    Lexapro
    BCP
    Phentermine (I’m 5’9″ tall and weigh 168 lbs currently)

    Is there anyone who knows more about rheumatoid arthritis, lupus, and adrenal disease? Or do you know of anything else that could be going on? I just have a feeling something is wrong inside, but I don’t know for sure. I’m having blood work done this week. Just a bit concerned, so any advice, or answers, you may have would be greatly appreciated. Thank you so much!

    1. Anonymous

      I’m sure the reason your doctor is checking your cortisol level is to rule out/diagnose Cushing Syndrome; which fits a lot of your symptoms. Since you already have ovarian cysts, you probably have Polycystic Ovary Disease; your symptoms match there too. Are you around menopausal age? Menopause has a lot of those symptoms too. It is good that you are getting checked for arthritis and lupus too. Another question, how long have you been on the Lexapro? It has a lot of yucky side effects that could be causing some of your symptoms. I’ve kind of thrown a lot out there but just trying to give you some ideas. I’ve listed the links to sites about the info I stated above. I hope all this helps. Best of luck!

      Praying you are able to get a diagnosis soon and relief from your symptoms.

  4. percy s

    Help! Is there a doctor or nurse in the house?!?
    So here’s whats been going on,I have been to numerous doctors and had a bunch of tests done,it all started with a severe sore throat with blisters,and a fever,tongue swelled and i couldn’t talk,eat,drink or anything and i had hives, red itchy,raised patches on my arms,legs,breasts and scalp.I had a strep throat culture,and it was negative,the dr. didn’t know if it was allergies or what but my reg dr gave me amoxocillian to take for 10 days,still nobody is sure what is going on,it’s now been 6 days i have been on the anti biotic,and im feeling slightly better,but not great and i still can not eat solid food,well i developed a new thing with my illness and that is whenever the hives moves onto my joints,they get swollen,red and stiff..so far it has gotten so bad that i could not even get out of bed i was just so sore,and i’m still getting a fever of usually 102-104 degrees,and my tongue still swells often. so i can’t figure this out,anybody have an idea? lupus maybe?

    1. sally

      Yeah it sounds like mono.. I have lupus and had mono too. Mono goes away though after a month or so. Do you feel really fatigue? When I had mono I could barley get outta bed.. but my mono actually triggered lupus.. which probally wont happen to you.

  5. Phaylen

    Have you Had a reactivation of Epstein Barr?
    5 years ago i suffered one of the worst cases of mononucleosis my Doctor had ever seen. Swollen neck/lymph nodes, terribly sore throat that required ice packs, chills and high fever. I was better in about a month and resumed normal activities.

    1 month ago (October 24th) I started feeling a pulling in my neck, like a tight muscle, over time this grew into a full on stiff neck with swollen lymph nodes from behind my ears to the back of my head to my collar bone. hey are palpable under the skin in places, soft, movable, but definitely swollen and my neck feels tight in the muscles. I went to the doctor and he said I had an ear infection and put me on Amoxicillan.

    A week and a half later I was no better and went to the ER and they told me i had a virus, sending me home with Augmentin, claiming I should let it run it’s course.
    I went to the internet for research and while I don’t believe i had mono again because reactivation of it is so very rare, plus, I don’t have a fever or a sore throat- just these swollen nodes and pain in my neck. I went back to the doctor and asked to be tested for Epstein Barr Virus.

    I got a call the following week and the nurse said “You Labs are back and consistent with reactivated Mono. Get lots of rest.” I had questions such as why it would reactivate with fewer symptoms, and how long i could expect these swollen nodes and neck pain to remain since it had already been a month… they didn’t have the time for me.

    My EBV test reads as follows

    Clinical Situation IgG-VCA EBNA EA IgM-VCA
    ————————————————————————————
    No past infection – – – –
    Acute Infection + – + +
    Convalescent Phase + + +/- +/-
    Past Infection + + – –
    Chronic of reactivated
    Infection + + – –

    My epstein Barr Panel showed two High Counts.
    EBV (VCA) Ab, IgG 936
    EBV Nuclear Ab, IgG 243

    Now, given that it is rare for people to get mono twice, and if they do it is usually WITHOUT symptoms or due to a suppressed immunity (Like Lupus or Arthritis) I went searching further for answers.

    Because i have had a small rash on my chest at the center of my breastbone that is occasionally itchy, as well as what had been diagnosed as dermatitis around my scalp and upper back- My symptoms seem to correlate with the dreaded word no one wants to hear: Lymphoma. It also seem EBV has a direct link to some Lymphomas.

    I called back my doctor and demanded a referral to an ENT and a CT scan of my neck- I’ve had chest X-rays previously due to a light persistent cough and they are normal.

    I’d like to ask Anyone who suffers from long term EBV effects if they experience swollen nodes and stiff neck for more than a month years after initial mono infection. Am i putting the car before the horse or being logical here. The concept of cancer frightens me to death, though there is no Lymphoma in my family.

    Do you EBV sufferers feel the same way? Do you have chronic swollen nodes and a stiff neck for more than 4 weeks at a time without other traditional mono symptoms?

    1. Doctor J

      Hi Phaylen. I am NOT an expert in Epstein Barr infections. However, I have a substantial interest in the role nutrition plays in the functioning of the immune system – which can play a significant role in controlling Epstein Barr infections and risk for various cancers.

      What I am offering here is merely conjecture – an educated hypothesis. There is very little specific scientific research in the area of Epstein Barr virus infections and nutritional status. What research is available suggests the following possibilities:

      1) Vitamin D deficiency is very common (an epidemic) and its effects on the immune system can impair the system’s ability to fight viral infections such as Epstein Barr virus (EBV). Have your doctors tested your blood levels of 25-hydroxyvitamin D? This is the proper test for Vitamin D status. You want a number in the “high-normal” range to be healthy.

      2) Zinc status is a major player in immune system health. Low zinc intakes from normal diets are very common. Even marginally inadequate intakes of zinc can impair immune function and limit the immune system’s ability to contain a viral infection. Again, have your doctors tested your zinc status? Have they measured ANYTHING about your overall nutritional status?

      Below are a few links to scientific papers that support the comments I have made here.

      Best wishes and good luck.

      I have added a couple of additional papers on zinc. They are fairly technical but, they provide a solid scientific basis for the potential relationship between your zinc status, immune function, and risk of viral infection and cancer.

  6. angelinaismywifey

    ~~Please help diagnose me!!! extensive bloodwork with no abnormal results…SO FRUSTRATING!!!~~?
    I have MANY symptoms pointing to something systemic, connective tissue involved or auto immune… especially similar to lupus, mixed connective tissue disease, scleroderma, dermomysotitis, sarcoidosis, lyme disease,lymphoma, skin cancer etc………all blood tests normal so far accept slightly low blood sugar and 1positive towards lyme 9but you need a few positive to go in that direction according to dr’s…. so does this not make any sense? shouldn’t blood work show some markers of disease especially if i have symptoms of this severity??? or are there somethings you can just never know!?? ……………….so confused!!!!
    symptoms vary greatly and im getting no def answers after switching dr’s time and again seeing specialists and researching ,myself(which is relentless)
    i have symptoms of:
    Renaud’s syndrome, alopecea, circulatory problems(painfull swollen vessels causing hives!broken blood vessels), skin problems(acne, wounds wont heal, blood vessels leaving marks, hives), hard lymph nodes in groin as well as swollen tender lymph nodes EVERYWHERE!, weird lump type feeling inside throat(went to ENT saw rawness w/ scope but no answers) itchyness(especially scalp), DRY SKIN, W/ PURPLE ROUGH PATCHES OVER KNUCKLES THAT SOMETIMES ULCERATE, shiny tight skin on hands, many oral changes (pale coloring in several areas, red sore like marks,white lines that come and go, inflammation under tongue and on the sides in the back of tongue and inside cheeks, bumpy lining of cheeks and where my gums connect to my bottom lip w/ pronounced veins, extremely dry mouth w/ white coating–not Candida’s and its almost like my tongue and cheeks are bigger or my mouth is smaller bc i get teeth marks on my tongue and have been noticing the inside of my cheeks are in the way and i bite them more often) also: swollen pain full knees and ankles(tested neg forRA), GASTRITIS(after endoscopy), heavy periods w/ blood clots, swollen vulva and cervix(cervix has cysts that have grown rapidly)
    Also ive noticed that the structures of my face have changed___ALL OF A SUDDEN !! i cant smile the way i used to my eyes are more buldging like and the creases in my face are diminishing!! its starting to cause depression and anxiety about leaving the house… please help
    ~~~tested neg for :LYME, RA, CELIAC, HIV, CLAMYDEA, GONORRHEA, STREP, O AND P(STOOLS), ALL BASIC CBC AND BLOOD WORK NORMAL!
    I DO HAVE HYPOTHYROID AND IN 1995 I HAD A LARGE BENIGN TUMOR REMOVED FROM THE CONNECTIVE TISSUE IN MY CHEST

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