Doctor insights on:
Wegener's Granulomatosis Symptoms And Treatment
Severe infections: This disease affects the immune system so that they are unable to fight off common germs and get very sick from infections that would be mild in healthy people. These severe infections can include skin or bone infections and abscesses in internal organs (lungs, liver, brain). Children with this disease are healthy at birth but usually develop severe infections in infancy or early childhood. ...Read more
Yes, different organ: Ulcerative colitis effects the colon and rectum. Pelvic inflammatory disease (pid) effects the uterus and fallopian tubes. These organs are next to each other so symptoms can be similar. Also, the immune system suppressing medications that help control ulcerative colitis can make it easier to have other infections, such as pid. ...Read more
Autoimmune disease: Like all autoimmune diseases, the cause is not really known, but likely a combination of genetic factors and environmental exposures (e.g., infections, chemicals, pollutants). Treatment depends on how severe disease it is. Typically steroids (e.g. Prednisone) and if severe, Cytoxan or rituxan (rituximab). If limited disease (just nasal/upper airway involvement), Methotrexate may be sufficient. ...Read more
Are rheumatologists familiar with the diagnosis and treatment of Lyme disease and its co-infections? If not, who treats these tick-borne infections?
Infectious Diseases: Certainly a rheumatologist can treat lyme, but in complex situations, not only can a board certified infectious disease specialist an treat lyme, they can order appropriate tests to diagnose and then treat co-infections such as anaplasmosis, babesiosis, and erlichiosis. In addition, they may be able to determine if the illness you is due to something other than a tick-borne illness. ...Read moreSee 1 more doctor answer
ANCA and biopsy: The most useful blood test is an anca with titer and pattern, and pr3/mpo confirmation. Biopsy of the affected tissue is also important. Imaging studies of the lungs and sinuses can be useful as well as blood and urine tests looking for kidney damage. Finally, EMG might be needed if there is concern for nerve damage. ...Read moreSee 1 more doctor answer
WG: Wegener’s granulomatosis (WG) is a rare disease that causes the walls of blood vessels to become inflamed (called vasculitis). This limits blood flow to tissues and can affect any organ. WG is a type of autoimmune disease. This means the body’s immune system attacks its own tissues. Its cause is unknown. ...Read more
Breathing problems: Pulmonary is the term for a doctor who specializes in lung disorders. This can include breathing difficulty, asthma, respiratory infections, and lung cancer. The lung and heart are intimately related and treatment of the lungs sometimes requires treatment of the heart as well. ...Read more
Why is the topic of chronic Lyme disease so controversial and do all infectious disease doctors specialize in Lyme disease treatment?
See below: Most infectious disease docs follow the guidelines of the idsa ; are either unaware of or willfully ignore a large body of sound science that proves without question that lyme infection can persist after what they consider to be adequate treatment.See http://bit.Ly/1px4fnq ; http://bit.Ly/1ffxjxl ; http://www.Lymeinfo.Net/lymefiles.Html ; http://bit.Ly/qcegra ; http://bit.Ly/orugxl for details. ...Read moreSee 2 more doctor answers
Possibly: There are numerous subtypes of vasculitis. Some are very serious and some are short term issues secondary to problems such as viral infection, drug reactions or allergies. Vasculitic problems are usually treated with Prednisone initially. Depending on the specific diagnosis, other meds may be necessary. ...Read moreSee 1 more doctor answer
Rash sinus lung: It is called polyangiitis with granulomatosis and is different in different people. This problem is caused by inflammation in the blood vessels which go everywhere in the body. Common symptoms include rash, sinus inflammation, lung problems which can be manifest by a cough. The kidney can be involved also but often this is asymptomatic. We can see other sites like the eyes, nose, etc. ...Read more
See below: The usual symptoms and signs of kawasaki's disease include fever, reddening of the eyes, cracked and inflamed lips and mucous membranes of the mouth with an inflamed "strawberry" tongue, ulcerative gum disease (gingivitis), swollen lymph nodes in the neck (cervical lymphadenopathy), and a rash that is raised and bright red. The rash appears in a glove-and-sock distribution. ...Read more
What condition has a better pronosis: Parkinson's disease or schizophrenia with negative symptoms?
Even DBS surgery!!: Deep brain stimulation therapy of the stn (sub-thalamic nucleus) or gpi (globus pallidus interna) can greatly improve "on" time (good function with minimized symptoms) & greatly reduce dyskinesia (twisting, writhing, jerking movements during "on" time). Good candidates must be not demented, psychiatrically stable, & still demonstrating good symptom relief from meds, but with inconsistent results. ...Read moreSee 2 more doctor answers
Immunodeficiency: The body's immune system is made of 3 kinds of cells: t-cells, b-cells and WBC (white blood cell). Wbcs roam the various tissues and engulf bacteria and fungi they encounter and then digest them inside themselves. When a crucial molecule, the reactive oxygen species (ros) is not present to enable the killing, the infection is not stopped. So these patients get sick very often. ...Read more
Hashimoto's ds…: Is an auto-immune disorder that affects the thyroid gland, causing inflammation, that usually leads to underactivity of the gland. Sx develop slowly as thyroid fnx drops: fatigue, constipation, high cholesterol, weight gain, muscle aches/weakness, depression, etc. If thyroid hormone level is low, your doc will give medicine to restore normal fnx. See link in comment for more info —>. ...Read moreSee 3 more doctor answers
Several Things: Before overt physical symptoms begin, one can experience pre-motor parkinson's issues: the most reliably reported 4 are chronic constipation, chronic depression, anosmia (part or complete loss of smell--which also effects taste appreciation) & rbd. Rbd stands for rem behavior disorder. Rem (dreaming stage sleep) can be accompanied by acting-out of dreams: talking, kicking, punching, running, etc. ...Read moreSee 1 more doctor answer
What is lichenoid lupus erythematosus? How is it different from discoid lupus erythematosus? Best course of treatment that does not involve oral meds?
Oral agents best: Lichenoid lupus refers to a specific type if rash sometimes photosensitive, which is oftern red and raised. It occurs between the dermis and epidermis under the microscope. Discoid may also start as a red area but will cause atrophy and scarring. The best treatment is usually the oral agent plaquenil (hydroxychloroquine). Other options include sunscreen, moisturizers and topical steroids if the areas are small. ...Read more
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