 
                            Suggest Treatment For Connective Tissue Disease
 
 
                                    
                                     Wed, 25 Mar 2015
                                                
                                            
                                                Answered on
                                                
                                                Wed, 25 Mar 2015
                                                
                                            
                                                Answered on
                                             
                                             Tue, 14 Apr 2015
                                                
                                                
                                                Last reviewed on
                                                
                                                Tue, 14 Apr 2015
                                                
                                                
                                                Last reviewed on
                                             
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Detailed Answer:
Dear Madam,
Thank you for reverting back.
Well going through all the history that you have provided there is a strong possibilIty of underlying CTD that is connective tissue disease of which Lupus and sjogrens syndrome remain the main differentials .
I note that you have been labelled as fibromyalgia and chronic fatigue but unless and otherwise we have ruled other organic cause like lupus by serological testing its not appropriate .
Anyways you need to get CBC , ESR , S. albumin, globulin , ANA - IFA , ENA profile , Schirmers test for tear secretion testing . First we will need all these tests , if we have a positive indicator in these then we will advise you for further testing .
Any further queries you are welcome to ask.
Dr. Shruti
 
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