Hi, Welcome to icliniq.com. Your symptoms do match spondyloarthropathy. It is a sort of arthritis, usually common in males but 10 % of the females can get affected. The severity is not so much in women, though. Secondly, painkillers (I am not sure which you are taking) are a good drug to stop the disease.
Hello, Welcome to icliniq.com. I have gone through your history and the blood reports (attachments removed to protect patient identity) along with the photographs you have posted. Well, there is gross swelling in both your legs. However, the albumin levels are not so low that the edema cannot be explained. Even the urine routine is normal.
Hello, Welcome to icliniq.com. I would like to ask you a few more queries. Is your sleep pattern normal? Do you have morning fatigue? How long did the viral last? Any hair fall, oral ulcers, dry eyes, or dry mouth? Any recent irritability or forgetfulness? It appears to be chronic fatigue syndrome which usually has a previous viral illness. But let me know these queries and would guide you further. I hope it helps.
Hello, Welcome to icliniq.com. I understand your concern. You are right in saying that she has the symptoms of Raynaud's with digital gangrene, which is ongoing. Arthritis, there are 50 variants of it, and it is very important to distinguish which one she has, as the management will differ for every type of arthritis. I would like to ask a few more questions: Is there any history of oral ulcers? Hairfall? Any history of fever? Which joints are affected? Is there swelling in the joints? Is there any deformity? Are there any changes in skin color or skin becoming tighter? Is there any history of dry eyes or dry mouth? Is there any muscle weakness that you have observed? With the start of Raynaud's, it seems like a systemic involvement more, something like lupus, but we need to rule it out.
Hi, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). There is a high ESR (erythrocyte sedimentation rate), RA factor. I would like to take a few more details on the history part. But it would be better if someone could examine the joints, as it is a long treatment that the patient will need.
Hi, Welcome to icliniq.com. Well, there is a lot of treatment available for vasculitis (blood vessel inflammation). We do use injection Cyclophosphamide and Rituximab. But it is very difficult to comment on anything unless you tell us which vasculitis she is suffering from as the treatment will vary accordingly. Secondly, you have mentioned sarcoidosis (abnormal inflammatory cell collection) as well.
Hello, Welcome to icliniq.com. I have gone through your history and images. (attachment removed to protect patient identity). Your rash seems still very florid and the alopecia is setting in. I am not sure about the medications you are taking as it does not show up on the phone app, but you need to increase your medicines.
Hello, Welcome to icliniq.com. I read your query and understand your concern. I have reviewed the reports, and I understand that you have already consulted several rheumatologists. I noticed some confusion regarding the diagnosis. At one hospital, the condition was labeled as systemic lupus erythematosus (SLE) (a chronic autoimmune disease causing inflammation and damage to multiple organs), while others have been diagnosed with rheumatoid arthritis (a chronic autoimmune disorder that primarily affects joints, causing pain, swelling, and potential deformity).
Hi, Welcome to icliniq.com. Well, the antibody as such does not match your symptoms. It is an antibody for autoimmune disease, more like SLE (systemic lupus erythematosus). Since it is positive, I would like to know if your ANA (antinuclear antibody) was positive as well, or if only this came back positive. Do you have any associated oral ulcers, joint swellings or rashes over the face and body or excessive hair fall? Thank you.
Hi, Welcome to icliniq.com. I think we are monitoring the wrong thing. ESR (erythrocyte sedimentation rate) is not a very good indicator for monitoring as it rises fast and comes down very slowly maybe four to six weeks even after the resolution of the infection. I believe she had a urinary tract infection. Was the urine culture done? As she is better after antibiotics, she is recovering.
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