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 sudden onset of joint pain or headaches, adipose-derived stem cells, and rapid atrial fibrillation. I have done a p-ANCA test with a background of positive Lyme testing with positive babesia and equivocal mycoplasma pneumonia. I am worried about having vasculitis. I would like to know how is vasculitis diagnosed and if I fit the symptom picture. I am currently on doxycycline 100 mg a day.
Investigations will reveal high ESR (erythrocyte sedimentation rate), positive CRP (C-reactive protein), high platelet count, and protein in urine along with RBCs (red blood cells). The other manifestations depend on the type of vasculitis. However, you do not seem to have manifestations of vasculitis.
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