Hi, Welcome to icliniq.com. I can understand your concern. What you are describing is chronic atopic dermatitis. You have had itchy, red, dry patches on your arms and neck for years, worse in winter and under stress , which is classic atopic dermatitis (eczema). It is chronic and relapsing, meaning it can improve but tends to flare up repeatedly.
Hello, Welcome to icliniq.com. I read your query and can understand your concern. Given your history of moderate-to-severe plaque psoriasis and new symptoms of prolonged morning joint stiffness, swelling in your fingers and wrists, and worsening skin lesions despite topical steroids and phototherapy, you may be developing early psoriatic arthritis (PsA). PsA is an inflammatory joint disease that affects around 20 to 30 percent of people with psoriasis, and early detection is important to prevent permanent joint damage. Diagnosis is made through a combination of clinical evaluation and the following blood tests, Blood tests such as ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) to check for inflammation, rheumatoid factor, and anti-CCP (Anti-Cyclic Citrullinated Peptide) to rule out rheumatoid arthritis.
Hello, Welcome to icliniq.com. I read your query and can understand your concern. Given your CT (computed tomography) findings of pansinusitis with polyps, persistent blockage despite steroid spray and an oral Prednisone taper, and elevated eosinophils/FeNO (fractionally elevated nitric oxide), this is likely chronic rhinosinusitis with nasal polyposis (CRSwNP) driven by eosinophilic inflammation and allergy. When deciding between continuing medical therapy versus moving toward surgery, we look at how much your symptoms (nasal obstruction, smell loss, and post-nasal drip) and quality of life are improving with maximal medical management. That usually means at least two to three months of high-volume saline rinses twice daily, topical steroid delivery beyond a simple spray (for example Budesonide respules mixed into your saline rinse or using a steroid-impregnated nasal device), plus control of allergic triggers with antihistamines, dust-mite covers, cleaning measures, and possibly immunotherapy.
Hello, Welcome to icliniq.com. I understand your concern. You are already doing an excellent job staying on top of your kidney health and managing key risk factors. At stage 3b CKD (chronic kidney disease), the focus is on slowing further decline, which means controlling blood pressure, reducing urine protein (ACR (albumin to creatinine ratio), maintaining good glucose control, and avoiding things that stress the kidneys. For protein intake, a moderate restriction of about 0.
Hello,Welcome to icliniq.com.I have read your query and can understand your concern.An IUD (intrauterine device) is a great long-term, “set-and-forget” birth control option, and it is very reasonable to consider at your age if you do not want children for the next several years.There are two main types: hormonal IUDs, which release a small amount of progesterone, and the non-hormonal copper IUD. Hormonal IUDs tend to make periods lighter, and in many women, periods become very light or even stop altogether over time.
Hello, Welcome to icliniq.com. I understand your concern. Based on everything you have shared, switching medicine makes sense. Two main options to consider: Aripiprazole: It is prolactin-sparing; it often lowers prolactin, and results in less weight gain than Risperidone. It may help in motivation and energy (some benefit on negative symptoms).
Hi, Welcome to icliniq.com. I can understand your concern. Seeing one new non-enhancing lesion on MRI (magnetic resonance imaging) while you are clinically stable on Ocrelizumab does not automatically mean the treatment has failed, but it is something your neurologist keeps a close eye on when weighing whether to continue, adjust timing, or eventually switch. As long as there are no clinical relapses, no enhancing MRI activity, and the overall lesion load is not rapidly increasing, most neurologists would continue Ocrelizumab on the regular six-month infusion schedule, repeating MRI annually. However, if new lesions continue to appear on back-to-back MRIs, even without clear attacks, then we start considering whether this represents sub-optimal response and whether shortening the interval slightly (every five months) or switching to another highly effective class (like Natalizumab or Ofatumumab) would give you better disease control.
Hello,Welcome to icliniq.com.I understand your concern.Based on the pattern of your joint symptoms, stiffness and swelling in the hands and wrists lasting more than an hour in the morning, affecting both sides symmetrically, along with warmth, fatigue, and unintentional weight loss, this picture is quite suggestive of an inflammatory arthritis, with rheumatoid arthritis being the most common cause in women your age.Morning stiffness lasting over an hour and difficulty with fine motor tasks like opening jars and buttoning clothes typically indicate inflammation within the joints rather than simple wear-and-tear. The fact that multiple joints on both sides are involved, and that you are also experiencing systemic symptoms like fatigue and weight loss reinforces the need for a prompt assessment.
Hello, Welcome to icliniq.com. I have gone through your query and understand your concern. Your description of a resting tremor in the right hand, smaller handwriting, slowing of movements, reduced arm swing on one side while walking, and some balance difficulty does raise concern for early Parkinson's disease, especially given your family history. Parkinson's is a progressive neurological condition caused by the loss of dopamine-producing cells in a part of the brain that controls movement. Classic early signs include a resting tremor (present when the limb is relaxed and lessens with movement), bradykinesia (slowness of movement), micrographia (smaller, cramped handwriting), and reduced automatic movements such as arm swings while walking, usually starting on one side of the body.
Hello, Welcome to icliniq.com. I understand your concern. From what you have described, you have chronic rhinosinusitis with nasal polyps (CRSwNP) and moderate persistent asthma, and both conditions are clearly influencing each other. This “upper airway lower airway” link is sometimes called united airway disease, inflammation in the sinuses can worsen asthma control, and poorly controlled asthma can make sinus issues harder to manage. Your case also has features of type 2 (eosinophilic) inflammation.
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