Recently Answered Questions
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I have persistent rashes and tested positive for ANA. Help.
Query: Hello doctor, I am a 20-year-old male. Over the last month or so, I have had this rash on my right cheek that has not gone away. I can also see a little bit of rash on my left cheek as well. I went to the hospital and came back with a positive ANA test 1:160 speckled. I thought it might be lupus, bu... Read Full »
Answer: Hi, Welcome to icliniq.com. Since you are ANA (antinuclear antibody) positive, we need to look at autoimmune diseases and must ensure that an appropriate diagnosis is made and treatment started. I need to know if it is also on the nose, as I cannot see from the image (the attachments are removed t... Read Full »
Are elevated immunoglobulins in MGUS dangerous?
Query: Hello doctor, I have MGUS, and my bone marrow biopsy was taken a couple of years ago. My test results are as follows: free kappa LT chains: 35.2 mg/L, free lambda LT chains: 40.5 mg/L, immunoglobulin results 3,559 mg/L.Should I be worried? Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for writing, and I understand your concern. Please send your reports, and I will go through them and let you know. It depends on your symptoms, so please let me know your symptoms. Since when have you been diagnosed with MGUS (monoclonal gammopathy of und... Read Full »
Are my symptoms due to an infection or autoimmune disease?
Query: Hello doctor,Over the past year, I have had polyclonal B cell activation, raised IgM, and positive ANA (antinuclear antibodies) with systemic flu-like symptoms. However, doctors do not comment on anything because I have worsening symptoms. I experience fatigue, Raynaud's disease, skin rashes, petech... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your investigations (attachments removed to protect the patient's identity), and your symptoms suggest connective tissue disease. ANA (antinuclear antibody) test is positive, and you have oral ulcers, skin rash, and hair loss. All of them are suggestiv... Read Full »
I have amyopathic dermatomyositis. Is it dangerous?
Query: Hi doctor, I was just diagnosed with amyopathic dermatomyositis, and I have been put through a lot of cancer screenings as this does not run in my family. All tests are normal, except regular ultrasound of the abdomen showed two non-specific liver lesions up to 3.2 cm. The previous CT scan of the a... Read Full »
Answer: Hello, Welcome to icliniq.com. Usually, non-specific liver lesions are mentioned as hemangiomas. CT scan without contrast would not pick them that easily, they may have been present then. Even if hemangiomas were not there, they may have developed over time and are benign. Having said that, it is ... Read Full »
Does knee inflammation after stopping steroids mean auto-immune disease?
Query: Hello doctor, My daughter (4 years old) had an eye injury around seven months back. She is now diagonised with granulomatous panuvietis. I have consulted in person around six opthalmologists and they have told that it is due to eye injury. However, one of them wanted me to go for auto immune tests ... Read Full »
Answer: 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 d... Read Full »
Query: Hello doctor,I am a 22-year-old female. A white patch developed behind my neck when I was 14 years old and after that, I consulted a doctor. After some time a new patch developed on my neck which soon faded after taking medicines 11 years ago. Then again after two years, two to three patches again a... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I have seen your query and concern and examined your pictures.(Attachments removed to protect the patient's identity). It looks like a focal vitiligo kind of lesion but is nothing to worry about. It is primarily an a... Read Full »
Query: Hi doctor,I have neck pain, stiffness in the lower back every morning, Raynaud's phenomenon with horizontal ridges in toenails, clicking painful fingers, wrist pain, and fatigue. I took NSAIDs and did CPR and ESR tests. My CPR and ESR test results were normal. I have a history of pregnancy and breas... Read Full »
Answer: Hi, Welcome to icliniq.com. Your symptoms are suggestive of Raynaud's disease. I suggest tablet Nifedipine (consult with a specialist doctor, talk with him or her and take medicines with their consent) once at night for 15 days. Stay in warmth and avoid cold compression. Do you have a history of smo... Read Full »
My hand and knuckles are paining without any trauma. Why?
Query: Hi doctor, I had an outer ear infection about three to four weeks ago. I scratched the inside of my ear with a Q-tip, and within two days it had swollen completely and shut. I went to Urgent Care and was prescribed with a 10-day course of Augmentin and ear drops. Three days after starting these medi... Read Full »
Answer: Hello, Welcome to icliniq.com. There are a couple of different possibilities here, and the most important one is arthritis due to cryoglobulinemia, which happens in people with long-standing hepatitis C history. The other possibility could be Parvovirus B19 infection. You should get tested for rheu... Read Full »
I am suffering from constipation, osteoporosis, and tinnitus. Kindly advise.
Query: Hi doctor, I have not passed stools for the last three and half months. I was given Milk of magnesia a month ago, then laxatives Colace, Miralax, and finally Senna. After taking that, sometimes, little watery stools were passed out. My blood pressure went up from 100 to diastolic 120 sometimes. I al... Read Full »
Answer: Hi, Welcome to icliniq.com. As per your description, I think this is a multisystem problem. There is an issue with the muscles, gut, eyes, osteoporosis, and tinnitus. These all can be explained in musculoskeletal disorders or autoimmune disorders like rheumatoid arthritis, systemic lupus erythema... Read Full »
Will the offspring be affected if both parents have an autoimmune disease?
Query: Hi doctor,I am taking tablets for hypothyroidism and have a skin allergy. I decided to marry a person but later found out that he has ulcerative colitis. Will this cause any health issues for our baby as we both have an autoimmune disease? My blood group is A-, and he is B+. Read Full »
Answer: Hello, Welcome to icliniq.com. Do you have autoimmune thyroid disease? It is common to have hypothyroidism at your age because of a lack of iodine in the diet, which causes some enlargement of the thyroid gland. They soon shrink, and the size will reduce once iodine supplements are replaced. Howev... Read Full »