3 doctors weighed in:

Why does one have >10 apthous ulcers qday & month? - autoimmune, +mgus, +vitamin a deficnc, -celiac sprue, + increasng hepatomegly w/o identified cause

3 doctors weighed in
Dr. Su Fairchild
Integrative Medicine

In brief: Toxicity?

Need more lab values, but they need a full workup.
Tests for celiac not fully accurate. Gluten enteropathy can cause malabsorption with multiple deficiencies. Check serum copper, serum zinc, ceruloplasmin, coq10, 25 oh d, selenium, iodine, comprehensive fatty acid panel, Amino Acid panel, b12, b2, b6 for starters. Lyme coinfection may be an issue.

In brief: Toxicity?

Need more lab values, but they need a full workup.
Tests for celiac not fully accurate. Gluten enteropathy can cause malabsorption with multiple deficiencies. Check serum copper, serum zinc, ceruloplasmin, coq10, 25 oh d, selenium, iodine, comprehensive fatty acid panel, Amino Acid panel, b12, b2, b6 for starters. Lyme coinfection may be an issue.
Dr. Su Fairchild
Dr. Su Fairchild
Thank
Dr. Michio Abe
Internal Medicine

In brief: Lymphoproliferative

Sounds complicated.
.. It may be a lymphoproliferative disorder of some sort possibly cll, lymphoma, amyloidosis, waldensrom's or multiple myeloma with light chain deposition disease, which can be developing in the setting of progression of mgus. For oral ulcers, you may want to consider behcet. Hem/onc consult would be a good idea.

In brief: Lymphoproliferative

Sounds complicated.
.. It may be a lymphoproliferative disorder of some sort possibly cll, lymphoma, amyloidosis, waldensrom's or multiple myeloma with light chain deposition disease, which can be developing in the setting of progression of mgus. For oral ulcers, you may want to consider behcet. Hem/onc consult would be a good idea.
Dr. Michio Abe
Dr. Michio Abe
Thank
1 comment
Dr. Ester Kwok
thanks. will resend to heme/onc and bx oral lesions to make sure it is apthous ulcer.
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