Recently Answered Questions
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What could be the severe joint pain with inflammation followed by bleeding from nose after a while?
Query: Hello doctor, I am a 47-year-old female. I started to have severe joint pains and inflammation around three weeks back. Then one day as I was giving a presentation, my team members noticed that I was bleeding profusely from my nose. The in-house nurse was called and I was found with high pressure of... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your query. I need to clear up a few doubts before giving you the final answer. I understand you had some problem which started three weeks back with joint pains followed by high blood pressure causing a nosebleed. I would like to investigate why... Read Full »
I have a flat, red rash on my leg. What is it?
Query: Hello doctor, I am 48, a healthy female. A large flat red rash appeared suddenly on both lower legs four days ago. I have swelling and pain in the lower leg. A little itching at times. No lesions or bumps present. Read Full »
Answer: Hello, Welcome to icliniq.com. I have noted your concern and I have viewed the image (attachment removed to protect the patient's identity). You seem to have small vessel vasculitis. I suggest bed rest, an oral anti-inflammatory such as Ibuprofen, twice daily. In addition, I suggest you take an or... Read Full »
What are the causes for headaches and swollen feet?
Query: Hello doctor,I am wondering if anyone would know what is wrong or what other tests can be done. My ANA is 1:360, TSH is 0.5, free and total, T3 and T4 are normal. SLE (systemic lupus erythematosus) is negative, Sjorgen's is negative, and thyroid ultrasound is normal. Symptoms experienced are extreme... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. Firstly, let me summarize your complaints and investigations. You have symptoms of ill health which include headaches, giddiness, and swelling of feet and ankles. Positive findings on investigations are your high leukocyte count of more than... Read Full »
Why do I experience multiple nerve and brain-related symptoms for more than five years?
Query: Hello doctor, I have been experiencing strange symptoms for more than five years. It started with pressure in my left side under my rib cage. Soon after that, my feet started burning. This happened suddenly overnight, and I was diagnosed with neuropathy. I started having episodes of flashing lights... Read Full »
Answer: Hello, Welcome to icliniq.com. Your symptoms are multisystemic and challenging to fit into one diagnosis. In the absence of specific symptoms and signs seen in rheumatological diseases, diagnosis is a little uncertain. However, an ESR (erythrocyte sedimentation rate) of 119 is very high and ce... Read Full »
My patient has painful papules. Please help.
Query: Hello doctor,The patient is a 12-year-old female. One month ago, she presented with drenching sweating and cold feeling with cold hands. Two weeks later, the skin of the hands became erythematous and blanched on pressure. Then, they gave her a measles vaccine in the school. Two days later, she devel... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post (attachment removed to protect patient identity). The significant problems mentioned in the post are: Palmar erythema. Leucocytosis with TLC 1400. Thrombocytosis. Low complement C3. All these could be manifestations of vasculitis. H... Read Full »
Query: Hi doctor, My mother has been suffering from vasculitis. She is facing difficulty in walking. She also has thyroid, diabetes, and sarcoidosis. Currently, she is on Covance 50, Gabapentin 100, Dilzem 30, Raricap, Sympta 20, and Modlip 10. For vasculitis, she was prescribed to have Wysolone 7.5 mg an... Read Full »
Answer: 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 is she suffering from as the treatment wi... Read Full »
Are the symptoms indicate vasculitis?
Query: Hello doctor,I am a 51-year-old woman with an eight-month history of persistent fever, shortness of breath on exertion, suffocation feeling, barking cough, sometimes productive cough with yellow sputum, raised resting heart rate, and tachycardia and palpitations with mild exertion. I am status post ... Read Full »
Answer: Hello, Welcome to icliniq.com. The manifestations of vasculitis in general are: Weight loss of more than 10 % of body weight. Aches and pains, fever, and loss of appetite. Mononeuritis. Investigations will reveal high ESR (erythrocyte sedimentation rate), positive CRP (C-reactive protein), hig... Read Full »