
What Causes Joint Pain Along With Numbness And Tingling Sensation In The Body?

HIV, Lupus, RA
Detailed Answer:
Hello and Welcome
I appreciate your concern
HIV fourth-generation test that identifies the viral protein HIV-1 p24 antigen, should be done , which appears in blood before the HIV antibodies are formed.
If positive, then an immunoassay that differentiates HIV-1 from HIV-2 antibodies should be advised.
An STD panel including HIV can be advised in consult with your doctor.
A positive ANA warrants that anti ds antibody should be done which is much more specific for SLE (Systemic Lupus Erythematosis).
For R.A clinical assessment is primary. Anti CCP antibody and RA factor would support the diagnosis. ESR and CRP levels should also be done. If diagnosed then treatment should be initiated with DMARDs like methotrexate before any joint deformity sets in. Please consult a rheumatologist or internal medicine doctor in this regard.
Wishing you best of health
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Dr. M.S. Khalil


Explained
Detailed Answer:
You are most welcome.
Confirmation via ds dna with clinical evidence would remove the doubt and treatment can be initiated accordingly.


Explained
Detailed Answer:
Hello again
It doesn't point to a single condition. One autoimmune condition can be associated with other autoimmune conditions especially involving the thyroid. Hashimoto thyroiditis should be worked up. It is 10 times more common in women. Anti TPO antibodies should be looked for in this regard. Levothyroxine supplementation with Thyroid function tests monitoring 6 weekly can then be commenced.
The gluten free diet is opted for in Celiac disease. For a proper diagnosis a combination of immunology and jejunal biopsy is used. Reintroduction of gluten 6 weeks prior to testing is required as in celiac with gluten free diet reversibility of villous atrophy and immunology normalization occurs.
Wishing you best of health
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