
Suggest Treatment For Rash That Spreads On Elbow And Forearm

?? Suspecting autoimmune condition
Detailed Answer:
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. Your symptoms could very well be related, and in my opinion could possibly depict an autoimmune condition.
The only issue with possible autoimmune conditions is the time they take for an accurate diagnosis. But it is very important to get diagnosed accurately, because autoimmune conditions can affect multiple systems causing many complications and symptoms.
For now, a short list of possible conditions:
-Dermatomyositis
-Systemic lupus erythematosus (SLE)
-Discoid lupus erythematosus
-Sarcoidosis
-Hypersensitivity reaction
-Polymyositis
-Polymorphous light eruption
and a few others.
For now I would strongly recommend a visit to the doctors visit and a few investigations like:
-MRI
-EMG (electromyography)
-Chest x-ray
-Muscle biopsy
-Skin biopsy
-Complete blood count
-Ultrasonography
I hope you find my response helpful. I also hope you can schedule an appointment with your doctor at the earliest and undergo the investigations with conclusive reports. Please do not hesitate to write back to me for any further clarifications, I would be more than happy to help you.
Best wishes.


I am sure you will be fine
Detailed Answer:
Hello once again ma'am.
We are all humans, and God not only provides us with all that we can handle (and not a gram more). So I am sure you can get through this without breaking into a sweat.
Sometimes being doctors, we start believing we are invincible. But we too have been made like every other human walking this planet, and when we fall sick, it helps us to realize this.
Let us (doctors) take care of you for a change, as a gift for all the help you have provided to our race. Think of it as a thank you from all the people you have helped.
Do not stress, and if there is anything you need to clarify, you know where to find me.
Best of luck, do keep me posted.


We need another doctor or dermatologist
Detailed Answer:
Hello once again.
As I mentioned earlier, you need not thank me ever. I am always here for you, and after you called me your brother, how could I not? :)
Yes, breathlessness can be caused by steroid use as steroids cause the retention of fluids in the body. These can easily accumulate in the lungs and restrict them from taking in the usual amount of air resulting in breathlessness.
I am happy to know that a thyroid profile and protein investigation returned normal which does rule out autoimmune disorders to quite an extent, although not completely. For this reason, to avoid your doctor who is gloating with overconfidence at the moment (although, as correctly stated by him there is a 95 % chance that you are free from an autoimmune disorder, there still exists a 5% chance of him being wrong); a second opinion would be wise, just to make sure.
I do not support the idea of just prescribing steroids to a patient without making a conclusive diagnosis. It is like prescribing a pain management medication for a patient who has a knife penetrating them; the problem is not the pain, it is the knife. As long as the knife is present, the pain will be; so remove the knife, not the pain.
If your doctor had not made a diagnosis, why did he prescribe the steroids? I do not understand this, but I am no one to question another doctors technique. Enjoy your wine, your music and I hope they are as therapeutic as they can get. I really appreciate the information, and your strong will and mind.
Take care,
Dr. Shoaib Khan.

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