Doctor insights on:
Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing?
Does infectious disease specialist treat or study systemic scleroderma. Undifferentied diffuse connective tissue disease,raynauds?
No: these are generally dealt with by rheumatologists. Good luck. ...Read more
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Where???: Where do you live? Where have you been? There must be a reason for suspecting this: what is it? ...Read more
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 moreSee 1 more doctor answer
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
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.
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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