avatar

Howard Smith, MD

Howard Smith, MD, is a Staff Rheumatologist and Director of the Lupus Clinic at Cleveland Clinic.

Lupus and Brain Fog: How to Find Your Way

Monday morning finds many of us feeling foggy, but 20 to 50 percent of people who struggle with lupus have a unique feeling of mental fogginess, including: Depression Memory problems Headaches Fatigue Confusion Other neurologic symptoms This set of symptoms, often called “brain fog” or “lupus fog,” is important to identify if you or a … Read More

4 New Medications for Lupus (Video)

The medications available for treating lupus have stayed pretty much the same for several decades. But in the past few years, we’ve seen a breakthrough with targeted therapies—medicines that are directed at one little molecule in the immune system. Watch this video to learn more about how lupus is treated: The most significant new treatments … Read More

5 Things You Need to Know About Lupus

When I mention lupus to my patients, sometimes I get a confused look because it’s not a well-understood condition. People wonder why the body would attack itself, as is the case with lupus and other autoimmune diseases. Here are five things many people don’t know about lupus: 1. Lupus affects nine times more women than … Read More

Fibromyalgia: 3 Ways to Improve Symptoms (Video)

Fibromyalgia is a very common condition that I see in my patients. It causes widespread pain – particularly in the neck and shoulders – and it can also cause sleep problems. It is associated with irritable bowel syndrome, depression and anxiety — but the good news is that there are ways to improve symptoms. What … Read More

Advertising Policy

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

First Rheumatology Appointment?

In my many years as a rheumatologist, I’ve seen patients with a variety of symptoms, including aches and pains. Arthritis may be a symptom of a number of different connective tissue diseases; there are more than 100 different types of arthritis. My job is to identify which type of arthritis the patient has, and then, … Read More