Recently Answered Questions
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Does Raynaud's in hands and wide spread muscle pain suggest lupus?
Query: Hello doctor, I am a 43-year-old female. About a year and a half ago I noticed Raynaud's in one finger. I had three episodes in two years. I have lost most of my eyebrows. Recently, I got three episodes of Raynaud's in both hands and most fingers. I have joint pain that comes and goes in all joints... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and what I can convey is that in most of the cases, clinical picture is that of systemic sclerosis, scleroderma, SLE (systemic lupus erythematosus) but as per the reports elevated anticardiolipin IgM and decreased complements can also b... Read Full »
What can be done for flash blindness kind of visual disturbances?
Query: Hello doctor, I am a 30-year-old male. I work with computer eight hours per day, I was wearing contact lenses for 15 years, glasses for eight years prior to that. I go to yearly checkups with my optician and physician. I eat healthy foods and exercise daily. I have healthy BMI, no known diseases, no... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. There are not many conditions which can give rise to the feeling of being blinded by a camera flash for 24 hours. A few of the conditions which can give rise to periodic flashes of light are retinal detachment, posterior vitreous detachment... Read Full »
I suffer from Grave's disease. Why is my thyroid high?
Query: Hello doctor, I am a 35-year-old female and I have a history of Grave's disease, treated with radioactive iodine 15 years ago and have been on Levothyroxine ever since. I have symptoms of hyperthyroidism and hypothyroidism and my medication has been increased several times in the past due to high TS... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. One of the most common complications of radioactive iodine therapy is hypothyroidism. I suggest that you increase the dose to 150 mcg. Some patients may require up to 300 mcg so do not worry about the dose. Consult your specialist doctor, discuss with him or her and... Read Full »
My hands hurt for no reason, and I doubt if an autoimmune disease is a reason. Can you please help?
Query: Hi doctor, I think I have an autoimmune disease. Hands hurt for no reason at all. I tested negative for sjogren's syndrome, lupus, and rheumatoid arthritis. I am tired all the time and have no appetite. I am currently taking tablet Lexapro (Escitalopram Oxalate), tablet Adderall (Dextroamphetamine S... Read Full »
Answer: Hi, Welcome to icliniq.com. Speckled antinuclear antibodies are seen in mixed connective tissue disease (MCTD) and scleroderma. If you have raynaud's phenomenon, do an echocardiogram (ECHO) to look for pulmonary artery hypertension, a high-resolution computed tomography (HRCT) of the chest to asse... Read Full »
I want to know about the red rash on my finger. Please help.
Query: Hello doctor, I have Raynaud's phenomenon and cutaneous vasculitis. I am concerned about a rash on my finger that is red with a small darker dot in the center. The rash does not itch or hurt. The tissue is soft. Read Full »
Answer: Hello, Welcome to icliniq.com. With your description, it seems like a target lesion which is seen in erythema multiforme. Erythema multiforme is a hypersensitivity skin reaction due to underlying infections, some medications, systemic diseases, and autoimmune disorders. Or it could be purpura (blo... Read Full »
Why do I have numbness in my fourth toe in the left foot?
Query: Hi doctor, I am a 52-year-old female. I am overweight but in good shape cardiovascular-wise nevertheless, and I have a weird numbness or dead feeling in my toe closest to the baby toe of the left foot. It does not change color, it is not on both sides, and it is always the same toe. It is on and off... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. I would like to ask the following: 1) Could you mention what factors or conditions aggravate or relieve such numbness in the left fourth toe? 2) What is the duration of the numbness? Is it recent in onset or chronic in the course, occurring ... Read Full »
I have Raynaud's disease and have painful bumps on my hands. Why?
Query: Hello doctor, I have been diagnosed with Raynaud's disease, and I keep getting painful red bumps on my hands that burn and itch. Also, some of my fingers are painful on the tips and sides around my nails. They last for a while but never completely go away. It almost looks like I have been burnt and ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Raynaud's disease is associated with other disorders which may give rise to bumps and papules on hands. I would like to know whether you suffer from any muscular weakness or have difficulty getting out of a chair or c... 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 »
What could be the reason for arthritis with pale violet and gangrene in fingers?
Query: Hello doctor,My wife has arthritis and has become very weak over the last few months. Now she has a condition that is more or less like Raynaud's phenomenon. Her fingers are turning pale violet and one of the fingers had gangrene-like occurrences. Not only the hands but even the toes are experiencin... Read Full »
Answer: Hello, Welcome to icliniq.com. You are right in saying that she has the symptoms of Raynaud's with digital gangrene which is on going. 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 arthritis. I would like to... Read Full »
Why do I have blood spots on cuticles?
Query: Hi doctor,I am contacting you because I have Raynaud's, and in the past few months my cuticles have developed blood specks. I know these symptoms point to scleroderma. It has me very worried. I need to visit a doctor for tests but I have to wait a few days and I would really like to get some clarifi... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. The diagnosis of scleroderma is based on clinical and some laboratory parameters neither Raynauds nor the cuticle blood spots are specific for scleroderma. It is skin thickness that has a maximum value and blood tests like anticentromere ant... Read Full »