Doctor insights on:
Lupus And Medical Shcool
With recent blood tests indicating detectable (ie. High) levels of crp, ANA and esr, should I seek testing for lupus or any other diseases?
How often at minimal should lupus patient doing well with no issues & only on plaquenil (hydroxychloroquine) see their rheumatologist or atleast get labs?
Having pain and numbness in arms. Has skin lupus. Also been on meds for panic disorder for 20 years. Tests for internal lupus were wishy washy. Idea?
Need more info: Pain and numbmess in your arms might be related to lupus although it sounds like you have no other feature of systemic disease and that your lupus is limited to skin disease. Other possibilities include cervical spine disease with nerve impingement or a more central lesion in the brain. Need further neurological evaluation. ...Read moreSee 1 more doctor answer
If suspicion of DLE or SLE and have rash Hairline and ears and BCG arm area (fingers and feet in past) Urine and CBC OK . Enough criteria for either?
No: Discoid lupus can usually be diagnosed on physical exam, and biopsy will usually be definitive. For diagnosing systemic lupus, there are criteria -- enough checkboxes on a list that's now up to 17. From your history provided, I very much doubt lupus. The typical hairline-and-ears rash is seborrheic dermatitis -- a trial of ketoconazole may be in order. ...Read more
What causes my toes & fingers to get ice cold indoors with plenty of heat and no chill in other parts of my body? Excellent health, BP 120/70, BMI 20.
What could cause general lymphedemapathy x 8YRS on and off and peripheral neuropathy. The sx come and go. Neg for HIV, HERPES. screened for cancers.
Does kid qualify for vaccine exempt with family hist of scleroderma, Raynaud's, psoriasis, scoriatic arthritis, and personal hist of eczema and celiac?
What are some places similar to Cleveland Clinic and Mayo Clinic? I've been having prolonged mystery medical problems and need a team of doctors.
See answer: John Hopkins is excellent. They also have an online second opinion website. Also check out Crowd.med. It is cost effective. Hundreds of physicians try to solve your case. There are articles on the web that discuss how best to get a second opinion and also discussion online second opinions ...you can also find reviews of these sites. ...Read moreSee 1 more doctor answer
23 year-old woman with fatigue, cold hands and feet, pallor, elevated TPO, iron-deficiency, and other symptoms. What steps for a good evaluation.....?
Hashimoto: Hashimoto thyroiditis. sounds like a case of hashimoto thyroiditis which is on the transition from the hyperactive to now "burn out " / hypo active - which is now clinically more apparent. Soon, the TSH would go up and she would need to get supplement likely. check TSH, free T4 and use judgement in regard to start supplement. consult endo-if unsure. ...Read moreSee 2 more doctor answers
I have mild SLE (no organ involvement), only on Plaquenil (hydroxychloroquine). No antiphospholipid antibodies, high BP or f. history of blood clots. Is birth control safe?
Probably safe: Per Uptodate Oral contraceptives containing low levels of estrogen are probably safe in patients with mild well-controlled SLE. Avoid use in pts with with increased risks of clotting. Patients with anti phospholipid antibodies, nephrotic syndrome, hx of thrombophlebitis, CAD, migraines, smokers. uncontrolled HTN. Of course weigh the risks and benefits with your personal Doctor. ...Read more
Can you have a positive p-anca, c-anca, speckled ana w Seizures and other signs of and autoimmune disorders and it be any thing other then vasculitis?
30 year old female cousin with long history of neck pain admitted to hospital yesterday with high fever and toe pain/swelling. Possible r.A. Or lupus?
Thick and jellow nails on hands an feet. 6 dermoligists a professor and other specialist excamen me. No diagnose. Skin disorder in the past exceem.
Yellow Nail Syndrome: This is a rare syndrome that is typically associated with underlying systemic condition such as lymphedema (swelling of the legs, hands), pleural effusion (fluid in the lungs), or rheumatoid arthritis. If your chest xray was normal and no associated limb swelling, then we typically send a specimen of your nail for fungal culture. If fungal culture positive, we treat with oral antifungal pills. ...Read more
Abnormal ANA screen and clotting disorder and pre hypertension.I.Take baby aspirin and folbic tab daily.Any specific things to avoid with this issue?
rheumatologist/hema: Depending on the specifics of your clotting problem and your medical history you should probably avoid oral contraceptives (increased clotting risks), and taking precautions for venous blood clots (avoid immobility for long periods, frequent stops to move around on car and plane trips. Some women will be at risk for miscarriages. If clots, might need oral anticoagulants (warfarin). ...Read more
I have PsA but not the skin condition, there's a family history of both. Do all patients with Psoriatic arthitis develop the skin condition?
No: Some people only get the arthritis. Sometimes the psoriatic skin condition comes years after the arthritis starts. I am very careful before I diagnose PSA in a patient without psoriasis. For me, a very careful detailed history from the patient and physical exam are helpful in this situation. ...Read more
Is there evidence to support ANA negative lupus? If the patient has all symptoms and certain positive antibodies. Your medical opinion to this?
Can lupus be the reason for weight loss/malabsorp swollen glands , flu like symptoms, headaches, ? Dr. Left message stated with lab draws may have sle
Possibly: If you have not seen a rheumatologist, you may want to see one to confirm. ...Read more