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Hydrops fetalis (HF): Hf is divided into two major categories: immune hf and nonimmune hf. Immune hydrops fetalis is caused by rh incompatibility, and used to be the most common cause. All other causes of hf are termed non-immune and may be caused by chromosomal aberrations, other genetic disorders, infections, anemias, structural birth defects such as congenital heart disease, and many other causes. ...Read more
Cns vasculitis: CNS vasculitis is usually treated with high-dose steroids such as prednisone, in combination with Cyclophosphamide (a medication that decreases the immune system’s response to autoimmune diseases).In some cases, high-dose steroids alone are tried first; if that does not treat the disease, Cyclophosphamide is added. Treatment must be continued for a prolonged period, sometimes for life. ...Read more
Drugs exist: Previous answer on stress reduction which is really important.However, medications exist that can help too. It does depend on which demyelinating problem (ms, cdip), and what type as some treatments are more indicated for certain kinds of ms for example.Many are powerful immune-modulating drugs, and can be by mouth, shot or IV depending. Best to see someone skilled in treatment, such as neurologist. ...Read more
What is r/o metabolic CNS diagnosis ? Explain treatment required please r'o metabolic diagnosis signal intensity in spinal cord on MRI of cervical spine
Rule out brain/spine: R/o metabolic CNS DX means to rule out a metabolic central nervous disease disorder or diagnosis. This means a neurological problem caused by a disease affecting your nerves to function probably from the higher order aresa such as the brain, spine or generalized nervous system. Heavy drinking, heavy metal poisoning, parkinson’s, previous exposure to chemotherapy, radiation, aggressive or prolon. ...Read moreSee 1 more doctor answer
Need clarification: CNS vasculitis is an inflammatory condition affecting the brain and is diagnosed by tests of structure (mri, arteriogram...) and less of function (eeg, evoked potentials. However, there are frequent eeg abnormalities depending upon the presentation of the vasculitis such as whether the patient has had a seizure. I hope this helps. Take care. ...Read more
Highly variable: Depends on root cause and treatment response. Sometimes it will relapse and remit, other times it can spontaneously resolve. ...Read more
Depends on type: There r many paraneoplastic neurologic syndromes, each associated with specific types of cancers. Thus, there's no generic answer to ur question. Paraneoplastic lymphomas, 4 instance, can produce specific antibodies which can b detected by blood tests or lumbar puncture, depending. The best "test"? A thorough history & physical by some1 knowledgeable (oncologist, neurologist) who can guide u more ...Read moreSee 1 more doctor answer
No reflexes anywhere but diagnosis MS 2001. Now severe neuropathy plus sjogrens etc. Docs think cidp plus ms. Important to differentiate the 2? How diagnosis cidp.
Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?
Hard to tell: Mast cells are the cells that release histamine in the body. This is what happens in urticaria, so one will see mast cells in biopsies of urticarial (hive-like) lesions. Mast cells can also be found in increased numbers in people with mastocytosis. Thus the biopsies may be similar. As stated by my colleague, the clinical history can be key to the diagnosis. Talk with your doc. ...Read moreSee 1 more doctor answer
Brain MRI results: differential includes nonspecific demyelinating process such as MS vasculitis and infectious etilogies. What does this mean?
Meaning of MRI: Differential- this refers to the list of possible diagnoses for the person. The radiologist is not exactly sure what the imaging diagnosis is but what they are saying is that it looks like is ms or ms like things. Ms vasculitis (swelling of the arteries seen in ms). The other thing he/she thinks is possible are infectious etiologies (causes: such as bacterial or viral infection. ...Read moreSee 2 more doctor answers
Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing?
How/why can lupus symptoms present & diagnosis of lupus be made by clinical picture &high ANA titer only?Why don't other labs show positive?Two rheum mds dx'd me.
No: The MRI needs to be with contrast. Also, there is no specific findings on MRI that will diagnose vasculitis. An MRI will show white matter lesion consistent with vasculitis but the same lesions are also consistent with several other causes including lyme disease. You should address all of your numerous questions to a rheumatologist. ...Read more
Does anyone have really mild chronic inflammatory demyelinating polyneuropathy, making diagnosis uncertain?
Have undifferentiated ctd.My rheummd strongly believes I have CNS involvement-confused, fog, dizzy, headache.Resolves w/ high doses prednisone.Prognosis?
Depends on control: Depends on control - and side effects of medicine used in control and on more specific diagnosis. ...Read more