Hi, Welcome to icliniq.com. I will try to help you as much as possible. A few questions first: 1. Was there anytissue biopsy done for the abdomen wall or the panniculitis lesion? If yes, please share its details. 2.
Hello, Welcome to icliniq.com. I think you need more DMARDs (disease-modifying antirheumatic drugs), preferably a combination of Leflunomide and Methotrexate, should be tried. And Prednisolone will be required until the DMARDs combo works. It does not help in reducing the steroid dose in three to four months, and then biological therapy should be planned. I hope it helps.
Hello, Welcome to icliniq.com. After going through the details of your query, there are a few things to be clarified first. You have not mentioned any involvement of the small joints of hands, wrists or feet. The joints you have mentioned only include large joints. If it is really so, then the likelihood of RA (rheumatoid arthritis) becomes lesser.
Hi, Welcome to icliniq.com. Your ANA (antinuclear antibody) report is not much significant. Lyme disease test IgG positivity reflects its chronic presence. Many of your neurological symptoms could be attributed to it. However, few symptoms need further evaluation by a rheumatologist, because a physical examination is necessary.
Hi, Welcome to icliniq.com. I understand your concern. The probable causes are cervical spondylosis or peri-arthritis of the shoulder. First, I need to ask a few things: Do you have any co-morbidity like diabetes or hypothyroid? Do you have pain in any other joints? Do you have pain just when you get up in the morning? Does the pain vary with neck movement? You need to get a few tests to establish your diagnosis. X-ray of the cervical spine in anteroposterior and lateral view.
Hi, Welcome to icliniq.com. I went through your query and understood your concern. If the abdominal pain is relieved with oral medications, I would prefer to wait until the wound is healed. Sometimes, healing may be delayed by biological medications like Adalimumab (monoclonal antibody). In addition, I would like to know what were her presenting symptoms 11 years ago.
Hi, Welcome to icliniq.com. I understand your concern. Having chronic immobility due to arthritis leads to frequent joint contractures. Minor surgical procedures can help these. If there is no contracture, then physiotherapy will help.
Hello, Welcome to icliniq.com. I shall try to answer your queries one by one. Eye injury may sometimes set up the autoimmunity. It is not clear in your question how much eye problem she currently has. Inflammation anywhere in body could be set up by infection, autoimmunity, or auto-inflammatory disease.
Hi, Welcome to icliniq.com. I understand your concern. Please answer the following questions to know further details. Did you have any redness in your eye, also? (the reason for eye drops). Do you have pain in the back, also? Is your neck pain worst in the morning time? HLA (human leukocyte antigens) B27 is an immunological marker of a group of rheumatological diseases called spondyloarthritis.
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