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Doctor insights on: Causes Of Serositis

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Attenuation of hep parenchyma. Diffuse capsular enhancement and focal capsular retraction on liver ct. No focal lesions. Could sle serositis cause ?

Attenuation of hep parenchyma. Diffuse capsular enhancement and focal capsular retraction on liver ct.  No focal lesions.  Could sle serositis cause ?

Possibly, but: Possibly, but I am unfamiliar with such a liver effect. Perhaps fibrosis from an associated disease, such as retroperitioneal fibrosis? ...Read more

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I have chronic serositis and hip lymphedema. The fluid collects on different sides depending on gravity and sitting position. What causes this?

I have chronic serositis and hip lymphedema. The fluid collects on different sides depending on gravity and sitting position. What causes this?

You said it well.: Because of the "pull" of gravity, fluid that is "free" in the tissues will move toward the "dependent" portion of the body. In other words, whichever portion of the body is "down" for a period of time, the fluid will go there because of gravity. ...Read more

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Sle. history of pleurisy/effusion and pericarditis with serositis of liver etc. Now center to right chest pain on even mild exertion. Most likely cause?

Sle. history of pleurisy/effusion and pericarditis with serositis of liver etc. Now  center to right chest pain on even mild exertion. Most likely cause?

more of same: Very likely sle related. Is the pain worse with a deep breath or cough? This is key! if so, it's more pleurisy or pericarditis. If not, it may well be muscular/arthritic/soft tissue inflammation from sle - check with your rheumatologist for addl treatment options. ...Read more

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Dx serositis sle. Abnormalities found on CT of liver.No masses.Norm biopsy. No gallbladder. Can inflamed liver cause severe bloating and nausea?

Dx serositis sle.  Abnormalities found on CT of liver.No masses.Norm biopsy. No gallbladder. Can inflamed liver cause severe bloating and nausea?

Possible, but: It depends on how bad your liver is inflamed. The symptoms could be from medication side effect. You should discuss this with your rheumatologist for more accurate advice. ...Read more

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I have a history of chelocyaritis. I now have serositis. Is this related in any way?

I have a history of chelocyaritis. I now have serositis. Is this related in any way?

Unclear: Peritonitis is a kind of serositis and can be due to complicated cholecystitis. There are other types of serositis (e.G familial polyserositis) which is an unrelated condition. ...Read more

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In hosp for 9 days w multi organ serositis /sle. Out for a month.Still havie prob/pain. Dr suggest to go back up on pred dose. How long does it last?

In hosp for 9 days w multi organ serositis /sle. Out for a month.Still havie prob/pain. Dr suggest to go back up on pred dose. How long does it last?

See below: If you mean the Prednisone dose, it is hard for us to say as we do not have all your lab results, but also we do not know if your doctor is going to add another immunosuppressant medication to your regimen to help come off the prednisone. You need to discuss with your doctor. ...Read more

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What are the typical symptoms of serositis? I have systemic lupus and get horrible abdominal pain.

What are the typical symptoms of serositis? I have systemic lupus and get horrible abdominal pain.

Horrible abd pain: If you have lupus and major pain, this needs an evaluation asap. There are several causes for severe abdominal pain in patients with lupus and some are really medical emergencies. ...Read more

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Treated for multi organ serositis in hospital. Noticed a splotchy rash on right side of upper to mid back a couple weeks later. Poss vasculitis ?

Treated  for multi organ serositis in hospital.  Noticed a splotchy rash on right side of upper to mid back a couple weeks later. Poss vasculitis ?

See below: It could be autoimmune but other causes should be ruled out such as drug eruption and shingles which can have atypical presentations if you are on immunosuppressives. See your doctor to best determine. ...Read more

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Hosp x9d for serositis/sle. I do not remember my first 2 days of hosp. A month later and back at work notice some memory issues. Brain involvement ?

Hosp x9d for serositis/sle.  I do not remember my first 2 days of hosp.  A month later and back at work notice some memory issues. Brain involvement ?

A definite maybe?!: Sle can affect the central nervous system, but it is difficult to prove. Sometimes MRI scan, CSF studies, or neuropsychiatric testing is helpful, but these studies are frequently not conclusive and always expensive! it is important to remember that many other issues can cause memory symptoms including stress, lack of sleep, and medication side effects. ...Read more

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I was diagnosed with multi organ serositis 2 months ago. Istill have pressure/pain in chest. The pressure in upper back/shoulder worsens after eating. Is it still serositis?

I was diagnosed with multi organ serositis 2 months ago. Istill have pressure/pain in chest. The pressure in upper back/shoulder worsens after eating. Is it still serositis?

Possible: The inflammation of sle can affect the lining of many tissues. It is possible that one area is around lungs, another at the heart and another is among blood vessels. Sle patients are at higher risk for heart attacks than age matched people it would be wise to have your heart checked.
Upper back / shoulder area pressure could come from irritation of liver /gallbladder area - consistent with eating. ...Read more

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Hosp for 9 days with multi organ serositis and severe uti. history sle. Still have sev pain ruq and sob. On 40mg pred and mobic (meloxicam). Norm recovery time?

Hosp  for 9 days with multi organ serositis and severe uti.  history sle. Still have sev pain ruq and sob. On 40mg pred and mobic (meloxicam). Norm recovery time?

See below: Hard to say without examing you, but you might want to talk to your doctor about 40 mg pred and Mobic (meloxicam) as that combination may cause you to have more ab pain. ...Read more

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Hosp 9 days sle. Multi organ serositis. Pleural effusion has dried up but dr says have permanent damage. Is that why I am hoarse and still have pain?

Chemical pleurodesis: You have an autoimmune disorder sle. You had a pleural effusion that was treated and it dried up. You may have had a chest tube placed. You still have pain and feel hoarse. You probably had a chemical pleurodesis using talc. This is commonly painful until scar formation and that may have some effect on the nerve to your voice box. Continue pain medications as needed. Hope you feel better. ...Read more

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Recovering from sle flare /hosp w multi organ serositis, pleural effusion. Slowly getting better. Today abdomen feels hard. Should i be concerned?

Recovering from sle flare /hosp w multi organ serositis, pleural effusion.  Slowly getting better. Today abdomen feels hard. Should i be concerned?

Always : You should always be concerned with symptoms if the base line DX is lupus . But also the meds you take may play a role a pt needs to be seen as a whole . You should ontact your doctor and larify what is going on. ...Read more

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Crp/sed rate norm 1 wk prior to out pt proced. Crp esc to 300 with hi d dimer. Admitted . diangosis multi org serositis/poss clot. history sle. Exp pot clot dx?

See details: I am not sure what you are asking. It sounds as if you have experienced a lupus flare. You were also likely tested for clotting disorders associated with lupus. Do you see a rheumatologist. If not, do so. If you do, any questions should be discussed with that doctor. ...Read more

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How long will I have pain from pleural effusion w serositis sle. Hosp 9 days. Dried up. No tube. Dr says some perm damage. Still hoarse /pain.

Painful for awhile: You had sle and had a pleural effusion that resolved without tube thoracostomy. You are having pain in the chest and a hoarse voice. The pleural pain can last a while. Like pneumonia, pleurisy or inflammation of the lining of the chest does hurt. This could last a month? Use pain control with medications, ask for a pain consult from anesthesia. Hope it gets better. ...Read more

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RUQ pain x 1 yr. Worse after food. Pain immed below sternum and to RT under ribs into RT back, persis nausea. Prev serositis. Norm scans,labs. N GB. ERCP 2013 stenosis. Pain worse after.No dx. Advice?

Gastroenterologist : These types of symptoms require evaluation by a medical professional, probably a gastroenterologist. Some people have recurrent pain after removal of the gallbladder, but a physician should evaluate you with a physical examination and possibly some lab work to be certain nothing more serious is going on. ...Read more

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Have strange sx of rt shoulder pain worse after bowel movement. Have hx of multi organ serositis. Could this be serositis or something else? SLE.

Have strange sx of rt  shoulder pain worse after bowel movement. Have hx of multi organ serositis. Could this be serositis or something else? SLE.

Need follow up : you have symptoms that need to be worked up. I would get your primary care and consider getting a imaging to ensure there is no sub diaphragmatic pathology, rare but possible given use of Immune suppression. Serositis alone doesn't explain. Best of luck ...Read more

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Is serositis just on the outside of organs? Egd shows bile gastritis on lining of stomach.But rheum says this is serositis. I have sle. Who is right?

You are right re. se: Yes, serositis is only on the outside(covering) of an organ. It is difficult to see serositis, so the egd findings are more likely to be correct. ...Read more

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How can a pt on high doses of steroids (sle serositis) tell the diff between having a swollen belly from the drug or true ascites? Abd is swollen/hard

How can a pt on high doses of steroids (sle serositis) tell the diff between having a swollen belly from the drug or true ascites? Abd is swollen/hard

See a doctor: A careful physical exam with a doctor can tell if there is ascites and an abdomen ultrasound can see if there is ascites too. ...Read more