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Doctor insights on: Sarcoidosis Diagnosis

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Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing? ,

Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing?
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Yes: Lyme can cause autonomic dysfunction including POTS- good idea to get tested for lyme and its coinfections such as bartonella, mycoplasma, erhlichia, anaplasma, babesia and rocky mountain spotted fever which are all tick borne infections ...Read more

Dr. Marci Dietrich
857 doctors shared insights

Sarcoidosis (Definition)

A condition in which nodules form in various organs, including lymph nodes, lungs, eyes, and liver. Common symptoms include cough, chest pain below the breast bone, fatigue, ...Read more


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Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?

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 more

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How common ice lupus misdiagnosed for sarcoidosis?

How common ice lupus misdiagnosed for sarcoidosis?

Labs,imaging, biopsy: Lupus and sarcoidosis affects many organs and both can have similar symptoms.However doctor(rheumatologist) can differentiate these two diseases by various blood tests, imaging and sometimes biopsy - skin, liver and kidney depending on the organ involved.So the diagnosis is often clear, raraly misdiagnosed. The diagnosis must be confirmed as the treatment options are quite different. ...Read more

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Differential diagnosis for acute appendicitis?

Differential diagnosis for acute appendicitis?

RLQ Pain: Long list including diverticulitis, crohn's disease, pelvic inflammatory disease, cholecystitis(gallbladder), ovarian cyst or twisted ovary, colon cancer, kidney stone, perforated ulcer, pancreatitis, bacterial infection and urinary tract infection to name a few. ...Read more

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What is sarcoidosis?

What is sarcoidosis?

Sarcoidosis: Dear jbennett, sarcoidosis is a disease of unknown etiology which can affect almost any part of a patient's body. It is known for the granulomas it produces--non-caseating--which can form commonly in the lungs. About 50% of the patients are african or hispanic origin, there is also a large % from northern europe. It has been found that a patient's immune response creates the granulomas. .. ...Read more

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What test diagnoses Crohn's disease?

What test diagnoses Crohn's disease?

Biopsy: Confirmatory test is biopsy via upper GI endoscopy and/or colonoscopy. Crohn's usually presents with inflammatory changes and granulomas (areas of immune system consolidation) at the end of the small intestine (terminal ileum) but it can involve any part of the GI tract. ...Read more

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Possible medical diagnosis of cutaneous leishmaniasis disease?

Possible medical diagnosis of cutaneous  leishmaniasis disease?

Where???: Where do you live? Where have you been? There must be a reason for suspecting this: what is it? ...Read more

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What is treatment for systemic lupus erythematosus?

What is treatment for systemic lupus erythematosus?

S L E : Systemic lupus erythematosus is an auto immune disease, that can affect skin, joints, kodneys, brain, and other organs.Auto immune means bodys immune system mistakenly attacks healthy tissues it is treated with steroids and non steroidal anti inflammatory meds, avoid sun and wear protective clothing. Cytotoxic drugs if you do not respond to cortico steroids cytotoxics have side effects need to be monit. ...Read more

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Differential diagnosis for fetus with hydrops?

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

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Is a diagnosis of Crohn's disease accurate without biopsy?

Crohn's: it is not completely possible to diagnose Crohn's without biopsy. ...Read more

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Treatment options for chronic granulomatous disease? Thanks!

Treatment options for chronic granulomatous disease? Thanks!

Quite a few!: Cgd is an immune deficiency that leads to frequent bacterial and fungal infections. Current treatment can include aggressive and prolonged antibiotic, antifungal, and Prednisone use (sometimes continuously for each as prevention), interferon, white blood cell transfusions, stem cell transplantation, and sometimes bone marrow transplantation. ...Read more

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Myxofibrosarcoma presenting in the skin: clinicopathological features and differential diagnosis with cutaneous myxoid neoplasms.?

Fairly common: The differential diagnosis will be made by the pathology team. My teacher hector battifora was among the world's most distinguished sarcoma pathologists but said he would never sign one out without another pathologist. The low nuclear grade ones rarely metastasize / kill, but all are prone to annoying local recurrences. Good luck, glad it's this relatively tame (still dangerous) cancer. ...Read more

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How is infectious mononucleosis serology diagnosed?

How is infectious mononucleosis serology diagnosed?

Mono serology: You can do a spot test for heterophile antibody or send the blood to lab for it.You can also send the blood for epstrin barr antigen which is not normally present in blood.You can also do immunoglobulin m(igm)test which shows acute infection.Igg will be positive for past infection with mononucleosis. ...Read more

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How is non-hodgkin's lymphoma diagnosed?

How is non-hodgkin's lymphoma diagnosed?

Scans and biopsy: Patients may have a lump(s) or feel quite ill with fever, night sweats, weight loss and/or anemia which brings them in to the ED or md. Many times blood tests and scans/x-rays are done which lead to a suspicion of lymphoma. A biopsy is required to prove that indeed the patient has lymphoma and also to tell exactly what type of lymphoma they have. ...Read more

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