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Doctor insights on: Visual Change Muscle Pain Weakness Abdominal Joint Rash Fatigue

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Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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I have recurring flares of rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back. My ANA is 6:40. I'm on plaquenil. Why are all my other antibodies neg for lupus?

I have  recurring flares of  rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back.  My ANA is 6:40.  I'm on plaquenil. Why are all my other antibodies neg for lupus?

Maybe SLE maybe not.: Diagnosis of rheumatologic disease is generally based on symptoms with support from lab. Sounds like you have a rheumatologic disease and are being treated with a rheumatologic agent perhaps by a rheumatologist. They can explain your particular situation better, but suffice it to say tests are not always right and a single test does not generally make or break a diagnosis. ...Read more

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Muscle (Definition)

It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more


Dr. Bruce Rothschild Dr. Rothschild
Internal Medicine - Rheumatology
37 years in practice
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School
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Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
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Muscle pain and weakness all over, pain/tightness in my chest w/coughing, fatigue, chills, rash started at my feet that spread all over my body.

Muscle pain and weakness all over, pain/tightness in my chest w/coughing, fatigue, chills, rash started at my feet that spread all over my body.

If recent: It these symptoms have been present for just a few days, a viral infection would be the best guess. If these symptoms have been present for more than a couple of weeks or are getting worse, you need to see your doctor. ...Read more

Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
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Rash, fatigue, joint pain flares, muscle weakness, depression, anxiety. No fibro hot spots. Negative lupus tests. Don't see what else it could be?

Rash, fatigue, joint pain flares, muscle weakness, depression, anxiety. No fibro hot spots. Negative lupus tests. Don't see what else it could be?

Anxiety disorder: Anxiety is a subjective state of tension, apprehension, worry, uneasiness or fear. It may be related to anticipated danger or arise for no apparent reason. While mild episodes of anxiety are common and do not usually require treatment, more severe forms can be chronic and debilitating. Symptoms of severe anxiety: insomnia, sweating, palpitations, tremors, and fatigue. See you pcp for the referral. ...Read more

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Dr. Clarence Grim Dr. Grim
Internal Medicine - Endocrinology
53 years in practice
University of Missouri-Columbia School of Medicine
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Skin rash on back immediately followed by fatigue, muscle pain and weakness, joint pain, vision problems, throat pain. Rash resolved but others Persia?

Skin rash on back immediately followed by fatigue, muscle pain and weakness, joint pain, vision problems, throat pain. Rash resolved but others Persia?

Skin rash: Sounds like could be Lyme but need much more information. Ticks out there yet? i do not know what Persia refers to but we can figure that out when we do 2nd opinion. ...Read more

Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
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Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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Blotchy rash in malar pattern along with migrating joint/muscle pain, chest pain, fatigue. rheum says it's not lupus due to bloods. no idea what it is?

Impossible to say: There are many disorders that can present with the symptoms you describe. Does your rheumatologist have any idea what it is? If not, get another opinion. ...Read more

Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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Saw rheum for malar rash, joint pain, muscle pain, fatigue. he ran FBC, ENA, ANA, CK Enzyme, Complement. all normal/neg so he said no lupus. confused?

Saw rheum for malar rash, joint pain, muscle pain, fatigue. he ran FBC, ENA, ANA, CK Enzyme, Complement. all normal/neg so he said no lupus. confused?

See details: There should be no confusion. You don't have lupus. A malar rash is most often the result of rosacea and the generalized aching and fatigue can have numerous causes. Ask the rheumatologist if it is not lupus, what is it? ...Read more

Dr. Joram Seggev Dr. Seggev
Internal Medicine - Allergy & Immunology
years in practice
The Hebrew University, Hadassah Medical School
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Should i seek second opinion? all rheum tests neg for lupus but continuing malar rash, migrating joint/muscle pains & fatigue. want answers?

Probably yes: All the symptoms you have may or may not be related to sLE. There is ANA-negative sLE, but it is very rare and hotly debated whether it actually exists. If you have not yet seen a rheumatologist, make sure you see one. If you have, you may want to go to one of several excellent university-affiliated rheumatology clinic. ...Read more

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Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
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Break out in hives in sun, migrating athralgia, rashes, fatigue, muscle weakness, neuropathy but neg ANA ENA fbc etc. Surely must be early lupus?

Break out in hives in sun, migrating athralgia, rashes, fatigue, muscle weakness, neuropathy but neg ANA ENA fbc etc. Surely must be early lupus?

Anxiety disorder: Anxiety is a subjective state of tension, apprehension, worry, uneasiness or fear. It may be related to anticipated danger or arise for no apparent reason. While mild episodes of anxiety are common and do not usually require treatment, more severe forms can be chronic and debilitating. Symptoms of severe anxiety: insomnia, sweating, palpitations, tremors, and fatigue. See you pcp for the referral. ...Read more

Dr. Douglas Mund Dr. Mund
Internal Medicine - Rheumatology
42 years in practice
State University of New York Downstate Medical Center College of Medicine
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What would cause muscle weakness, joint pain, and fatigue as your only symptoms?

Many possibilities: The symptoms you present are not specific they may represent metabolic problems like thyroid or parathyroid disease, true arthritis, muscle disease and many other possibilities. If symptoms persist further evaluation needs be done see your physician. ...Read more

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Dr. Ronald Krauser Dr. Krauser
Internal Medicine - Rheumatology
48 years in practice
Wake Forest University School of Medicine
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What type of blood titers would be ordered for muscle weakness, fatigue, and joint pain?

What type of blood titers would be ordered for muscle weakness, fatigue, and joint pain?

It depends: Lab tests are ordered after a complete history and physical exam. The test depend somewhat on the results and the history and exam. ...Read more

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Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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Recent pain in joints, fatigue and chills, no fever. Also muscle weakness and stiffness?

Recent pain in joints, fatigue and chills, no fever. Also muscle weakness and stiffness?

Should see doc: The number and serious nature of things that can cause this warrants a trip to your physician. Will need some basic labs, review of your risk factors, history of screenings, and a good exam. ...Read more

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Dr. Jimmy Bowen Dr. Bowen
Physical & Rehabilitation Medicine
30 years in practice
University of Alabama School of Medicine
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Dr. Rachel Chastanet Dr. Chastanet
Bariatrics
30 years in practice
Jefferson Medical College of Thomas Jefferson University
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Symptoms - rapid fluctuations in BP in explained weight gain ,sweating , lightheadness ,muscle pain and weakness fatigued what causing this

Symptoms -  rapid fluctuations in BP in explained weight gain ,sweating , lightheadness ,muscle pain and weakness fatigued what causing this

Med Side Effect?: This sounds concerning, and I recommend that you see your doctor soon. Some of these symptoms could be medication side effects from your Adderall, (dextroamphetamine and racemic amphetamine) or relate to problems with your thyroid. I hope you feel better soon! ...Read more

Dr. Bennett Machanic Dr. Machanic
Neurology
48 years in practice
Johns Hopkins University School of Medicine
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Can chronic joint and muscle pain be a symptom if multiple sclerosis along with weakness?

Pain not unique: At least 90% of MS patients have significant issues with pain, but am not convinced that you have MS at all. See your doctor and uncover why you are suffering your symptoms, and get a diagnostic confirmation. ...Read more

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Dr. Stratos Christianakis
1,189 doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


Dr. Raj Upadya
941 doctors shared insights

Muscle Pain (Definition)

Also known as myalgia, muscle pain is a result of overuse or stretching of the muscle. Muscle pain can occur either becuase of an infection or because of a mechanical injury. It can be acute, or chronic pain that ...Read more