Thomas Nathan Hoffmann
Rheumatologist | Rheumatology
8930 Fourwinds Dr Ste 100 Windcrest TX, 78239About
Dr. Thomas Hoffmann is a rheumatologist practicing in Windcrest, TX. Dr. Hoffmann specializes in the treatment of musculoskeletal diseases and systematic autoimmune conditions that can affect the bones, muscles or bones. Eventually, if not treated, these illnesses can also impact the skin, eyes, nervous system and internal organs. Dr. Hoffmann is a prior Special Forces medic. He intgegrates healthy diet and activity into the care of all of his patients.
Education and Training
Rensselaer Polytechnic Institute BS 0
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine MD 0
Board Certification
Diplomate of the American Board of Internal Medicine (ABIM)
Provider Details
Thomas Nathan Hoffmann's Expert Contributions
positive ANA Antibodies and dsDNA
Hello, Unfortunately, you LIKELY DO HAVE DISEASE and NEED to see a Rheumatologist for evaluation. The ANA is common and many people with an ANA do not have disease. Most people with ds DNA do have disease. ds DNA goes with kidney disease and you have a high creatinine showing kidney problems. This means you NEED to find out what is going on in your kidney - the two specialists who can help are the Rheumatologist for what is autoimmune, and the Nephrologist for what is going on in your kidney. Please get checked out as soon as you can. v/r Dr Thomas Hoffmann READ MORE
ANA Tests
Hello, Here is my answer for your question of can years of hydroxychloroquine treatment lower ANA levels: The ANA is an antibody test. The ANA does not mean you have a disease, it means you have the type of immune system that can get a disease. The levels vary in 2 ways. One is the margin of error of the test itself. No test is perfect and ANA levels vary a little bit from one test to another. This is from all the factors that affect the result, including the test chemicals, how the sample was stored, temperature of the sample during testing, etc. The other way is more likely the answer to your question. From year to year, the mix of antibodies that your body makes changes. This is part of your body's adjustments as your health changes from year to year. When people are getting healthier, their body and immune system adjusts and makes less antibodies like the ANA that indicate risk of disease. Treatment with good medication like hydroxychloroquine is one thing that helps this happen. The other major factor is the overall quality of general health - the overall "healthy" level of your diet, sleep and exercise. The overall answer to your question is: Yes, treatment with hydroxychloroquine CAN result in lower ANA levels but this is also affected by other factors so we CAN'T prove that it was the treatment that caused the effect. I hope this answers your question. v/r Dr Thomas Hoffmann Rheumatology READ MORE
Areas of expertise and specialization
Faculty Titles & Positions
- faculty of the rheumatology fellowship program San Antonio Military Medical Center -
Fellowships
- National Capital Consortium Rheumatology 2011
Charities and Philanthropic Endeavors
- Green Beret Foundation, other Veteran's groups
Fellowships
- Walter Reed National Military Medical Center; Rheumatology fellowship 2011
Professional Society Memberships
- TMA, STAR
Articles and Publications
- Chronic recurrent multifocal osteomyelitis. Thomas Hoffmann, David R. Finger> ;The Journal of Rheumatology. 2007 Dec 1
- A novel approach to tele-echocardiography across the Pacific. Jamalah A. Munir, Eugene K Soh, Thomas N Hoffmann, Jeffery P Stewart> ;Hawaii Medical Journal. 2004 Oct 1
What do you attribute your success to?
- \"My success is mostly due to a combination of medical excellence thanks to fabulous training at Walter Reed in Bethesda combined with good, practical \"how-to\" with diet and exercise through my special ops training and work as a medic.\"
Areas of research
- Medical EducationMSK UltrasoundRheumatology
Thomas Nathan Hoffmann's Practice location
Thomas Nathan Hoffmann's reviews
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Get to know Rheumatologist Dr. Thomas Nathan Hoffmann, who serves patients in Windcrest, Texas.
A dual board certified rheumatologist, Dr. Hoffmann enthusiastically cares for patients at Rheumatology Solutions in Windcrest, Texas.
In the greater San Antonio, Texas, area, Rheumatology Solutions is the premier choice for the diagnosis and management of rheumatic and inflammatory conditions. Four board-certified rheumatologists lead the team and provide a wide range of modern and effective treatments and services. The team takes the time to visit with each new and returning patient about their symptoms and concerns before building a personalized treatment plan.
Academically, Dr. Hoffmann received a Bachelor’s Degree from Rensselaer Polytechnic Institute in Troy, New York. He then completed his medical education at the Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine.
Furthering his training, he performed his residency in internal medicine at Tripler Army Medical Center from 2004-2007, followed by his fellowship in rheumatology at the National Capital Consortium from 2009-2011.
Board certified in both internal medicine and rheumatology, the doctor is a Diplomate of the American Board of Internal Medicine (ABIM). The ABIM is a physician-led, non-profit, independent evaluation organization driven by doctors who want to achieve higher standards for better care in a rapidly changing world.
After serving for eight years at the San Antonio Military Medical Center, Dr. Hoffmann retired from the Army. During his tenure, he held a position on the faculty of the rheumatology fellowship program, where he contributed to the training of rheumatologists and internists.
“My success is mostly due to a combination of medical excellence thanks to fabulous training at Walter Reed in Bethesda combined with good, practical ‘how-to’ with diet and exercise through my special ops training and work as a medic” expresses Dr. Hoffmann.
Rheumatology is a branch of medicine devoted to the diagnosis and treatment of rheumatic diseases. Physicians who have undergone formal training in rheumatology are called rheumatologists. Rheumatologists treat arthritis, autoimmune diseases and osteoporosis.
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