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Autoimmune disorders: like Rheumatoid Arthritis, diabetes & thyroiditis have an ^ed incidence in children with Down Syndrome (DS). A normal Free T4 & ^ed Ultrasensitive TSH indicates sub-clinical HYPOthyroidism that can become clinical. Macrocytosis, large RBC's, in infants with DS remains lifelong in 2/3rds. It can be associated with anemia from low Vitamin B12 & Folate (folic acid) or iron levels, hypothyroidism or leukemia. ...Read moreSee 1 more doctor answer
The synovial membrane is the lining of a joint and synovitis is inflammation of that lining. It can cause joint pain, swelling, and stiffness. When inflamed, the lining will create excessive joint fluid, causing swelling and increased joint pressure. The lining can also become thickened and cause apparent joint enlargement. Commonly associated with ...Read more
Mild Psoriasis sufferer, chronic pain right forarm & elbow. Blood tests 80 titre ana, positive anticentromere. Psoriatic arthritis or scleroderma?
Occam's Razor: Usually Systemic Sclerosis and/or limited Scleroderma is not characterized by arthritis like you describe. The typical biomarker the anti Scl-70 (anti-topoisermorase). Symptoms have to be put into context and better described than elbow and forearm pain. This one you should see a rheumatologist about. Dermatology would be useful as well. Best of luck! ...Read more
Treatment for radial & longitudinal tears of the posterior horn medial meniscus, severe knee osteoarthrits moderate joint effusion, diffuse synovitis?
Numerous : The most definitive option is a knee replacement. Knee arthroscopy is not likely to be helpful at this point. Various injections such as cortisone, hyaluronic acid/joint fluid or platelet-rich plasma are reasonable options. Meds, braces and PT are considerations. If I can help, then join my care team and virtual practice at www.healthtap.com/dr-clarkeholmes ...Read more
No: Autoimmune thyroiditis can occur in young children, adolescents and adults of any age. We see it most often in children who have a family history of that condition. In many children that we have seen, it was mild but symptomatic enough that their mother recognized the condition and sought treatment. Even with mild disease in children the treatment can have profound benefits. ...Read moreSee 1 more doctor answer
MRI Grade 2/3 chrondromalacia glenohumeral joint w/ high grade cartilage loss, Bone marrow edema of the humeral head, mod. Glenohumeral effusion?
I have widespread joint pain, swelling. C-reactive protein <0.5 mg/dl, rheumatoid arthritis factor<8.6 iu/ml, sed rate 15mm/hr. Rheumatoid arthritis?
Polyarthralgia: You should be seen in person by a rheumatologist. Good luck. ...Read more
Injury >6 months ago, MRI says chronic subcentimeter avulsion fx of navicular with sclerotic margins and associated cystic change. Meaning/treatment?
Seizures mouth ulcers hepatocellular disease low blood count anticardiolipin antibodies 1:80 speckled ANA osteoarthritis spine Si joints LUPUS maybe?
Mri comes back with grade II to III chondromalacia patella , knee joint effusion with ganglion, longitudinal partial tear.Mcland lcl strain. ?
Conservative Rx: Depends upon your primary complaint and whether there was a mechanism of injury. Chondromalacia(i.e.Cartilage wear=arthritis) is common and can cause swelling and pain. Collateral ligament strains/partial tears (mcl+lcl) should be managed well conservatively. Recommend seeing a pt for motion, strengthening, edema control. Am a fan of a stationary bike as well (nonimpact knee motion+strengthening). ...Read moreSee 1 more doctor answer
Confused: rheum did bloodwork no signs of inflammation. Orthopedic says osteoarthritis in knees;hemat shows lymphocytes low. Not autoimmune?
See below: Low lymphocytes can be seen in a variety not just autoimmune diseases. Some patients may have low lymphocytes to start with and that could be there normal. ...Read more
Joint, entheses dz: Reactive arthritis (formerly known as reiter's syndrome) is an uncommon (<0.01%) inflammatory arthritic condition preceded by an infection, usually in the gastrointestinal (i.E diarrhea) or genitourinary (i.e. Uti) tracts. Specific bacterial have been linked to this disease. Rheumatologists call this disease a spondylarthropathy, affecting both joints and entheses primarily. ...Read more
No: Although elbow replacements are done this is much less frequent. ...Read more
Not sure about ques: Subacute thyroiditis (often painful) is often caused by a virus, can cause transient hyper or hypothyroidism, but usually is self-limited. It does not produce granulomas. There are rare diseases of the thyroid where a systemic disease (eg sarcoidosis) can infiltrate the gland. Your terminology is unusual. Are you seeing an endocrinologist? ...Read more
Why pain after cortizone (hydrocortisone) injection. Mri says grade 2/3 sprain in both knee mcls, joint effusion, patella tilt &chrondomalica patella. Result of fall.
Patella femoral : If your pain is in front/under your knee cap, then most likely chondromalacia patella. Best managed with exercise to strengthen your quads to improve tracking, and avoiding deep knee bending activities. Also oral or topical nsaids can be of benefit, as well as a brace. Injection of cortisone or hyaluronic acid also very popular. Mcl injuries can be braced & need time not cortisone injections. ...Read moreSee 1 more doctor answer
Diagnosis? Grade 2 chondromalacia, mucoid degeneration to acl, subchondral cyst tibial spines,soft tissue swelling in prepatellar- soft tissue lateral
Diagnosis MRI?: Looks like a summary of an MRI Report. Grade 2 chondromalacia means you have some like age and activity related softening or wearing away of the articular cartilage in your knee. Age related changes to your ACL, but not a tear. Soft tissue swelling usually implies some swelling or bruising in the fat beneath your skin, but outside your joint ...Read more