Dr. Sugreev Singh
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have pain in my fingers and toes after doing exercise. I also have muscular pain and rash in my legs. Why so?
Please help.
Hello,
Welcome to icliniq.com.
I understand your concern.
I went through your reports (the attachments removed to protect the patient's identity).
I have gone through your reports and everything is normal except for a few changes. You have vitamin D3 (cholecalciferol) deficiency and ANA (anti-nuclear antibody) IgG positive. Your anti-CCP (anti-citrullinated protein) antibody is elevated as well. It indicates that you might have an autoimmune disease. It seems you might have an early stage of rheumatoid arthritis or lupus.
So, I suggest you follow the instructions mentioned below.
1. Take a tablet of vitamin D3 once a week for a month.
2. Take a tablet of Etoricoxib (selective cyclooxygenase-2 inhibitor) twice daily for seven days.
3. Take a tablet of Levocetirizine once daily for five days.
Kindly consult a specialist doctor, talk with them, and take medicines with their consent.
Thanks and regards.
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Internal Medicine
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