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What Causes Raised ASO Titre And ESR Levels?
Question: A patient with high ASO Titre ESR RAISED.ANA,Ra factor negative.no history of sorethroat fever.but severe polyarthralgia relieved wth analgesics and steroid.how to manage now?
Brief Answer:
polyarthalgia
Detailed Answer:
Good evening
Thank you for writing on health care magic
Raised aso and ESR are quite non specific. In XXXXXXX Aso is raised in almost all the patients
Could you give us some more details on the type of joint involvement.. Like which all joints are involved
2/ any swelling in the joints
3. Any early morning stiffness?
4. Any backache or beck.pain?
5. Any history if fever
6. Duration of the symptoms?
7. Any preceding loose motions or urinary infection
Steroids will help relieve the symptoms but we need to be sure what we are treating. Do let me know these queries. Will try to sort it out
Regards
Dr naval
polyarthalgia
Detailed Answer:
Good evening
Thank you for writing on health care magic
Raised aso and ESR are quite non specific. In XXXXXXX Aso is raised in almost all the patients
Could you give us some more details on the type of joint involvement.. Like which all joints are involved
2/ any swelling in the joints
3. Any early morning stiffness?
4. Any backache or beck.pain?
5. Any history if fever
6. Duration of the symptoms?
7. Any preceding loose motions or urinary infection
Steroids will help relieve the symptoms but we need to be sure what we are treating. Do let me know these queries. Will try to sort it out
Regards
Dr naval
Above answer was peer-reviewed by :
Dr. Shanthi.E
No history of throat infection recently last 2 months.polyarthralgia major joints more than 5 joints.no swelling no rashes.no fever(^ temp) recently.mild morning stiffness.backache history is there.no loose stools no urinary symptoms.no chest pain.no breathlessness.duration of symptoms 5 days.
Brief Answer:
Polyarthalgia
Detailed Answer:
Good evening
Well, 5 days is a very short history to start any major drug. Even for Steroids, I would recommend you to wait since you have mentioned it is only arthalgia(Pains) and no swellings. At times, it can be just a prodomal of the viral illness and can subside in 2 weeks time or a Variant of reactive arthritis. I would recommend you to get Vitamin D levels, CRP and Anti CCP antibody also done. That would help us delineate if it is Rheumatoid Arthritis or just vitamin D Deficiency causing these pains
Kindly continue on NSAIDS for the time being and let me know these results as well
REgards
Dr Naval
Polyarthalgia
Detailed Answer:
Good evening
Well, 5 days is a very short history to start any major drug. Even for Steroids, I would recommend you to wait since you have mentioned it is only arthalgia(Pains) and no swellings. At times, it can be just a prodomal of the viral illness and can subside in 2 weeks time or a Variant of reactive arthritis. I would recommend you to get Vitamin D levels, CRP and Anti CCP antibody also done. That would help us delineate if it is Rheumatoid Arthritis or just vitamin D Deficiency causing these pains
Kindly continue on NSAIDS for the time being and let me know these results as well
REgards
Dr Naval
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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