Q. Please suggest a cure for my skin rashes based on the report.

Hi,

Welcome to icliniq.com.

• The reports suggest that you are probably having an autoimmune disease.

• For an exact diagnosis, ANA (antinuclear antibody) global or ANA profile test report and skin or muscle biopsy would be required to avoid any controversies in the future.

• I also need to know the following for a better diagnosis. Do you have a joint pain or oral ulcers? Where exactly was the location of the rash?

• Is there any history of seizures and photosensitivity? What was hemoglobin level, urine protein and serum creatinine levels?

Revert back with a picture of the rash and reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Hi,

Welcome back to icliniq.com.

From your reports, major autoimmune diseases appear to be excluded. 

• The raised ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) occurs mainly due to systemic illness or an infection and low vitamin D is not a big concern.

• The rash is not the typical resemblance of SLE or dermatolysis and so, that is not a cause.

• The urinary tract infection is detected by increased WBC and presence of protein in urine. I suggest you get antibiotics and a urine culture to be done.

• Your blood pressure was in the prehypertension range, so I advice less salt diet and to avoid coffee and smoking or alcohol if any.

• Your pulse rate, 112 per minute is not normal and for which I suggest a clinical examination to be done to ascertain the cause and EKG. The temperature was normal.

• There is no need to take both Naprosyn (Naproxen) and Ibuprofen together, as both are painkillers and belongs to NSAID (nonsteroidal anti-inflammatory drugs).

• I also need to know the following for further diagnosis. Do you have severe joint pains? Since when is the rash present? Does it itch?

• I also suggest you get a serum creatine kinase level and ultrasound abdomen to check for liver echotexture and urinary bladder wall thickening as it may lead to chronic cystitis. Wait for your skin biopsy report for further diagnosis.

For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Hi,

Welcome back to icliniq.com.

• I am sorry for your bad health conditions. May I know what was the intestinal infection for which you were treated a year ago? What was the treatment given?

• Yes, they have tested for multiple myeloma, but the reports are pending. It can be ruled out as there is no clinical scenario indicating it.

• Some antibodies for myositis are not seen in the report and they may also be awaited. 

• Generally, the rash of SLE (systemic lupus erythematosus) is classically butterfly shaped, located over malar area and increases with sun exposure.

•  While, the rash in dermatomyositis is located over sun exposed areas classically over eyelids and back.

• The distribution of the rash depends upon the clothes we wear. So, wherever we have sun exposure, we get a rash on those parts.

For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician